NPI 1174630768
Walter J Prokop, KT
Practice location
- Address
- Edward Hines VA Hospital 5000 1st Ave, Hines, IL 60141
- Phone
- (708) 202-3937
- Mailing address
- PO Box 438, Hines, IL 60141-0438
Registered specialties
Kinesiotherapist
Primary
Registry record
- NPI
- 1174630768
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Aug 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.