MITZI WALKER


Address: 676 Brookwood Dr, Olympia Fields, IL 60461-1510
Phone: 7734749150

MITZI WALKER (NPI# 1790143733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790143733
Entity Type Individual
Full Name MITZI WALKER
Other Name THEORTIS WALKER
Credential RN
Practice Address 676 Brookwood Dr
Olympia Fields
IL 60461-1510
Practice Telephone 7734749150
Mailing Telephone 7734749150
Enumeration Date 2016-02-05
Last Update Date 2016-02-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0807X Registered Nurse
Specialization: Psych/Mental Health, Child & Adolescent
041-231858 IL Nursing Service Providers
Y 163WS0200X Registered Nurse
Specialization: School
041-231858 IL Nursing Service Providers

Office Location

Street Address 676 BROOKWOOD DR
City OLYMPIA FIELDS
State IL
Zip Code 60461-1510

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609372564 Katherine Gill Haddad Student in an Organized Health Care Education/Training Program 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 2018-03-31
1750886610 Kim Minh Dang Student in an Organized Health Care Education/Training Program 20201 South Crawford, Olympia Fields, IL 60461 2018-03-23
1619484110 Alexandra N. Douvas Dentist 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 2018-01-05
1992258438 Krystyne Doty Nurse Practitioner 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 2016-08-02
1205286747 Shirlene Umali Registered Nurse 20201 South Crawford Ave, Olympia Fields, IL 60461 2016-06-15
1386002590 Touch of Wholeness Psychological Services, LLC Psychologist 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 2016-02-02
1063895357 David Dardick Dentist 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 2015-07-04
1811378623 Fins Healthcare Agency Nursing Care 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 2015-06-17
1285048959 Garud Ranga Raj Orthopaedic Surgery 20817 Alexander St, Olympia Fields, IL 60461 2014-06-20
1811316334 Brett Hapeman Emergency Medicine 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 2014-04-11
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Taxonomy Information

Taxonomy Code 163WS0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497377865 Koren Mauch Registered Nurse 718 S Locust St, Sycamore, IL 60178-2227 2020-05-08
1861037731 Teresa Lynnell Shiley Registered Nurse 7414 Cass Ave, Darien, IL 60561-3608 2019-11-14
1730745332 Nan Chinratana Phillips Registered Nurse 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 2019-05-20
1134785108 Patrice A Pritchard Registered Nurse 820 Borden Ave, Sycamore, IL 60178-3270 2019-05-15
1164088308 Kristin Tilton Registered Nurse 150 Maplewood Dr, Sycamore, IL 60178-1225 2019-05-14
1710451380 Angela L Shires Registered Nurse 333 W College St, Harrisburg, IL 62946-2599 2019-01-17
1891278396 Marlaina Felice Reel Registered Nurse 1400 N Charles St, Belleville, IL 62221-4858 2018-09-11
1245710763 Diana Guzman Registered Nurse 3424 Ruby St, Franklin Park, IL 60131-1722 2018-08-14
1700365764 Peggy Lynn Cook Registered Nurse 3300 W Maple St, Evergreen Park, IL 60805-3044 2018-08-10
1407334766 Tamra L Sanders Registered Nurse 110 N Kenilworth Ave Apt 4e, Oak Park, IL 60301-1216 2018-07-30
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Competitor

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City OLYMPIA FIELDS
Zip Code 60461

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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