Walters, Lorna V

Walters, Lorna V is an sole proprietor health care provider with primary practice located at 8601 S Cottage Grove Ave , Chicago IL 60619-6107. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Walters, Lorna V can be contacted via phone (773) 783-7599.

Contact Information

Primary practice address
8601 S Cottage Grove Ave Chicago IL 60619-6107
Fax: (773) 783-7698
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004143 Illinois

Profile Details

NPI number 1871587691
LBN Legal business name Walters, Lorna V
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2005
Last updated Nov 6th, 2023 - about 3 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 1871587691 NPPES
Illinois MEDICAID 016004143

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