Shannan Jesse Walker, DDS
NPI #1043878358 in Great Lakes, Illinois
Provider Information
- NPI Number
- 1043878358
- Entity Type
- Individual
- Name
- Shannan Jesse Walker, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- May 31, 2019
- Last Updated
- May 31, 2019
Practice Location
- Address
- 2410 SAMPSON ST
- City
- Great Lakes
- State
- Illinois
- ZIP Code
- 60088-2942
- Phone
- (847) 688-3331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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