Walters, Abigail

Walters, Abigail is an sole proprietor health care provider with primary practice located at 1775 Dempster St , Park Ridge IL 60068-1143. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Walters, Abigail can be contacted via phone (708) 283-5500.

Contact Information

Primary practice address
1775 Dempster St Park Ridge IL 60068-1143
Phone: (708) 283-5500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209.018373 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209018373 Illinois

Profile Details

NPI number 1700352622
LBN Legal business name Walters, Abigail
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2018
Last updated Oct 8th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700352622 NPPES
Illinois Other 209018373 ILLINOIS ADVANCED PRACTICE NURSE LICENSE
Illinois Other 041385178 ILLINOIS ADVANCED PRACTICE NURSE LICENSE

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