DEMETRIOUS WALKER


Address: 2430 Athens Rd, Olympia Fields, IL 60461-1954
Phone: 7085419785

DEMETRIOUS WALKER (NPI# 1285281188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285281188
Entity Type Individual
Full Name DEMETRIOUS WALKER
Practice Address 2430 Athens Rd
Olympia Fields
IL 60461-1954
Mailing Address Po Box 1175
Calumet City
IL 60409-1175
Practice Telephone 7085419785
Mailing Telephone 7085419785
Enumeration Date 2019-08-25
Last Update Date 2019-08-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Office Location

Street Address 2430 ATHENS RD
City OLYMPIA FIELDS
State IL
Zip Code 60461-1954

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194372953 Laquanta Jackson Registered Nurse 2430 Athens Rd, Olympia Fields, IL 60461-1954 2019-08-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609372564 Katherine Gill Haddad Student in an Organized Health Care Education/Training Program 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 2018-03-31
1750886610 Kim Minh Dang Student in an Organized Health Care Education/Training Program 20201 South Crawford, Olympia Fields, IL 60461 2018-03-23
1619484110 Alexandra N. Douvas Dentist 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 2018-01-05
1992258438 Krystyne Doty Nurse Practitioner 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 2016-08-02
1205286747 Shirlene Umali Registered Nurse 20201 South Crawford Ave, Olympia Fields, IL 60461 2016-06-15
1386002590 Touch of Wholeness Psychological Services, LLC Psychologist 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 2016-02-02
1063895357 David Dardick Dentist 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 2015-07-04
1811378623 Fins Healthcare Agency Nursing Care 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 2015-06-17
1285048959 Garud Ranga Raj Orthopaedic Surgery 20817 Alexander St, Olympia Fields, IL 60461 2014-06-20
1811316334 Brett Hapeman Emergency Medicine 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 2014-04-11
Find all providers in zip 60461

Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245851690 Brown Health Care Solutions LLC Community Based Residential Treatment Facility, Mental Illness 7330 S Blackstone Ave, Chicago, IL 60619-2150 2020-04-27
1376187617 Haven Pointe L3c Community Based Residential Treatment Facility, Mental Illness 4056 W 115th St Apt 100, Chicago, IL 60655-4333 2019-10-30
1386285682 Monte Nido Illinois, LLC Community Based Residential Treatment Facility, Mental Illness 28w510 Washington Ave, Winfield, IL 60190-1537 2019-10-08
1093209264 Lester & Rosalie Anixter Center Community Based Residential Treatment Facility, Mental Illness 5108 W Roscoe St, Chicago, IL 60641-4204 2018-06-20
1689124877 Cornerstone Suppport Cila Home Community Based Residential Treatment Facility, Mental Illness 125 E 144th Ct, Harvey, IL 60426-1218 2016-10-11
1124575733 Robert Young Center Community Based Residential Treatment Facility, Mental Illness 2701 - 17 Street, Rockisland, IL 61201 2016-09-01
1578910063 Stepping Stones of Rockford, Inc Community Based Residential Treatment Facility, Mental Illness 3319 Darwood Dr, Rockford, IL 61101-2727 2016-05-16
1588018162 Stepping Stones of Rockford, Inc Community Based Residential Treatment Facility, Mental Illness 3729 N Main St, Rockford, IL 61103-1611 2016-04-20
1194194175 Compassion Cila Homes Inc Community Based Residential Treatment Facility, Mental Illness 304 Springfield St, Park Forest, IL 60466-1145 2015-09-18
1922474436 Family Counseling Center, Inc. Community Based Residential Treatment Facility, Mental Illness 802 E School St, Karnak, IL 62956-1527 2015-08-19
Find all providers with the same taxonomy

Competitor

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City OLYMPIA FIELDS
Zip Code 60461

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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