Provider Demographics
NPI:1336229889
Name:WALKER, ALAN LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LEE
Last Name:WALKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6555 S. WILLOW SPRINGS ROAD
Mailing Address - Street 2:
Mailing Address - City:COUNTRYSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60525
Mailing Address - Country:US
Mailing Address - Phone:708-482-9700
Mailing Address - Fax:776-767-3944
Practice Address - Street 1:6555 S. WILLOW SPRINGS ROAD
Practice Address - Street 2:
Practice Address - City:COUNTRYSIDE
Practice Address - State:IL
Practice Address - Zip Code:60525
Practice Address - Country:US
Practice Address - Phone:708-482-9700
Practice Address - Fax:776-767-3944
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001162111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor