SearchIllinois222Q00000X

Mary Walters

NPI 1649572058 · on the registry since 2010 · sole proprietor

Practice

Address
211 W Lawrence Ave
Effingham, IL 62401
Phone
(217) 347-1037

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-11-17

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