Walsh, Judith K
Walsh, Judith K is an individual health care provider with primary practice located at 21237 S Lagrange Rd , Frankfort IL 60423-2046. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Walsh, Judith K can be contacted via phone (815) 469-8541.Contact Information
Primary practice address
21237 S Lagrange Rd
Frankfort IL 60423-2046
Phone: (815) 469-8541
Fax: (815) 469-8106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046.008869 | Illinois |
Profile Details
| NPI number | 1548368632 |
|---|---|
| LBN Legal business name | Walsh, Judith K |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 31st, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548368632 | NPPES |
| Illinois | Other | 09922174 | BLUE CROSS/BLUE SHIELD |
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