| Jean L. Walsh Family Practitioner, Ltd. | |
|
16151 Weber Road Suite 201 Crest Hill IL 60403-0863 | |
| (815) 838-2888 | |
| (815) 838-0222 |
| Full Name | Jean L. Walsh Family Practitioner, Ltd. |
|---|---|
| Speciality | Family Medicine |
| Location | 16151 Weber Road, Crest Hill, Illinois |
| Authorized Official Name and Position | Jean L Walsh (FAMILY PRACTITIONER) |
| Authorized Official Contact | 8158382888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean L. Walsh Family Practitioner, Ltd. 16151 Weber Rd Suite 201 Crest Hill IL 60403-0863 Ph: (815) 838-2888 | Jean L. Walsh Family Practitioner, Ltd. 16151 Weber Road Suite 201 Crest Hill IL 60403-0863 Ph: (815) 838-2888 |
| NPI Number | 1922115377 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 10/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922115377 | NPI | - | NPPES |
| 02226675 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-089648 (Illinois) | Primary |
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Alvi Medical Services Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2208 Weber Rd, Unit A, Crest Hill, IL 60403 Phone: 815-725-1118 Fax: 815-725-1198 | |
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Edward Medical Group - Family Practice Crest Hill Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16151 Weber Road, Ste 201, Crest Hill, IL 60403 Phone: 815-838-2888 Fax: 815-838-0222 |