Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 036.141268 | IL |
NPI | 1053622290 |
---|---|
Provider Name | Dr. Hollis W. Walker |
First Address | Elmhurst, IL 60126-5658 |
Second Address | Elmhurst, IL 60126-5658 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2010 |
Last Update Date | 09/12/2016 |