| David Walters, FNP-BC | |
| 2211 N Oak Park Ave, Chicago, IL 60707-3351 | |
| (773) 622-5400 | |
| Not Available | 
| Full Name | David Walters | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner | 
| Location | 2211 N Oak Park Ave, Chicago, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780303735 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209025805 (Illinois) | Primary | 
| Entity Name | Family Doc Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1700117942 PECOS PAC ID: 0042341471 Enrollment ID: O20100629000851 | 
| Entity Name | Shriners Hospitals For Children | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871930693 PECOS PAC ID: 9133031933 Enrollment ID: O20131009001351 | 
| Entity Name | Familydoc Urgent Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245880715 PECOS PAC ID: 0446581417 Enrollment ID: O20191007002277 | 
| Mailing Address | Practice Location Address | 
|---|---|
| David Walters, FNP-BC 5644 N Moody Ave, Chicago, IL 60646-6126 Ph: (920) 203-3872 | David Walters, FNP-BC 2211 N Oak Park Ave, Chicago, IL 60707-3351 Ph: (773) 622-5400 | 
| Mr. Gerald M. Bedore, APN/CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612 Phone: 312-996-7420 Fax: 312-413-8485 | |
| Stacy Ervin, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Michigan Ave, Chicago, IL 60611 Phone: 866-825-3227 | |
| Katherine Cappitelli, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St Ste 2125, Chicago, IL 60611 Phone: 312-472-4218 | |
| Mindy Unrau, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2045 W. Grand Ave Ste. B, Pmb 89496, Chicago, IL 60612 Phone: 708-630-1534 | |
| Juliet Ibanez Panambo Kantoff, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611 Phone: 312-635-0973 | |
| Catherine L Chung, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2142 S Archer Ave, Chicago, IL 60616 Phone: 312-326-1408 | |
| Tricia Muir, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-525-6780 |