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Search › Illinois › 101YA0400X

Tija Walters

NPI 1497116941 · on the registry since 2016 · sole proprietor

Practice

Address
5910 W Division St
Chicago, IL 60651
Phone
(773) 777-7112
Fax
(773) 887-3300
Organisation at this address
Youth Outreach Services
Youth Outreach Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois