Provider Demographics
NPI:1083954341
Name:WALKER, ERIN B (MPH,RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:B
Last Name:WALKER
Suffix:
Gender:F
Credentials:MPH,RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2235 FOX RUN DR
Mailing Address - Street 2:
Mailing Address - City:KANKAKEE
Mailing Address - State:IL
Mailing Address - Zip Code:60901-8358
Mailing Address - Country:US
Mailing Address - Phone:815-401-5358
Mailing Address - Fax:
Practice Address - Street 1:2235 FOX RUN DR
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-8358
Practice Address - Country:US
Practice Address - Phone:815-401-5358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL897044133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered