| 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 |
Cynthia Phillips, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2003 W Fulton St Ste 505, Chicago, IL 60612 Phone: 312-243-2223 |
Jessica Lauren Offenbach, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 312-227-4000 |
Ms. Jenny Ko Lee, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 847-962-6268 |
April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 W Grand Ave Ste B, Chicago, IL 60612 Phone: 708-630-1534 Fax: 888-517-8619 |
Stacy Ervin, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave, Chicago, IL 60611 Phone: 866-825-3227 |
Mr. Joshua Bryan Dunn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 W Harrison St, Chicago, IL 60607 Phone: 312-942-5904 |