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Contact Information

DEBRA A WALCZAK, CCNS
1740 W TAYLOR ST
CHICAGO, IL60612-7232
 Phone: 312-996-6021
 Fax: 312-996-9723
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Transplantation

364ST0500X 89 Certified Clinical Nurse Specialist
 

Clinical Nurse Specialist

364S00000X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for DEBRA A WALCZAK · (Female)

NPI # 1235302167
Status Active
Credentials CCNS
Entity Individual
Enumeration date 04/11/2008
Last updated 04/11/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209006927
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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