Search › Illinois › 106H00000X
Jesse Waltz, MAED, LMFT
NPI 1619313988 · on the registry since 2013
Practice
- Address
- 8658 S Sacramento Ave
Chicago, IL 60652 - Phone
- (773) 962-3740
- Organisation at this address
- Chicago Children'S Surgery Center, Llc
Chicago Children'S General Anesthesia Dentistry, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 25310 W Maggie Ln, Plainfield, IL
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 106H00000X
- Licence states on file
- KY, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-27
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