NPI

Traci Walk

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Individual
Enumeration date
2016-04-20
Last updated
2016-04-20

Specialties

Licenses

License IL
160006981

Location

Practice location
20379 E 1100th Ave
City
Dieterich IL
Postal code
62424-2114
Phone
(217) 663-2876

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Dieterich, IL. 18 records in the public file.

Removal request

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