Holly R Walker is a Medical in Peoria, Illinois. Holly R Walker practices all healthcare services and medical treatments related to Medical. The NPI Number for Holly R Walker is 1497887004. The last update date is 2018-10-29.
Holly R Walker's current location address is 420 Ne Glen Oak Ave Ste 401, Peoria, Illinois. You can contact this provider via phone number 3096768123 and fax number 3096768455. The mailing address for Holly R Walker is 420 Ne Glen Oak Ave Ste 401, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly R Walker |
|---|---|
| Address | 420 Ne Glen Oak Ave Ste 401, Peoria, Illinois |
| Phone Number | 3096768123 |
| Fax Number | 3096768455 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1497887004 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2018-10-29 |
Provider Mailing Address Detail
| Address | 420 Ne Glen Oak Ave Ste 401 |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616033168 |
| Phone Number | 3096768123 |
| Fax Number | 3096768455 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 85001719 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00300733 | IL | RAILROAD MEDICARE | |
| 850017179 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Holly R Walker by the Centers for Medicare & Medicaid Services?
The Holly R Walker has been issued the NPI (National Provider Identifier) 1497887004 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Holly R Walker's facilities are geographically located?
The facilities of Holly R Walker are physically situated at the following location: 420 Ne Glen Oak Ave Ste 401, Peoria, IL, 616033168.
What is Holly R Walker's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Holly R Walker is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1497887004 to Holly R Walker?
The Holly R Walker received its 1497887004 assignment from the Centers for Medicare & Medicaid Services on 2007-03-09.
As of what date was the information regarding Holly R Walker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Holly R Walker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-10-29.