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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ROOSEVELT WALKER III
NPI 1386558849
Counselor - Mental Health in Merrionette Park, IL

Active since October 01, 2026
11560 S KEDZIE AVE STE 200, MERRIONETTE PARK, IL 60803(708) 974-5800 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Roosevelt Walker Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROOSEVELT WALKER III (NPI 1386558849) is an individual mental health provider in Merrionette Park, Illinois and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1386558849
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameROOSEVELT WALKER III
Location Address11560 S KEDZIE AVE STE 200Merrionette Park, IL 60803-4517
Mailing Address11560 S Kedzie Ave Ste 200Merrionette Park, IL 60803-4517 · (708) 974-5800
Phone(708) 974-5800
Sole ProprietorNo
Enumeration DateOctober 1, 2026
NPPES CertifiedOctober 1, 2026
✔ NPI 1386558849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11560 S KEDZIE AVE STE 200, Merrionette Park, IL 60803
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANDRAYEA BURNS
Peer Specialist
11560 S KEDZIE AVE STE 200
MERRIONETTE PARK, IL 60803
Cook County (708) 974-5147
ESTER ALEGRIA
Peer Specialist
11560 S KEDZIE AVE STE 200
MERRIONETTE PARK, IL 60803
Cook County (773) 520-1173
MELVIN MCGOWAN
Counselor (Mental Health)
11560 S KEDZIE AVE STE 200
MERRIONETTE PARK, IL 60803
Cook County (773) 520-1306
DANIELLE LAWS LSW
Social Worker
11560 S KEDZIE AVE STE 200
MERRIONETTE PARK, IL 60803
Cook County (708) 974-5800
SHEREE RUTH
Peer Specialist
11560 S KEDZIE AVE STE 200
MERRIONETTE PARK, IL 60803
Cook County (773) 590-3947
MADELIN NOEL SPAGNOLA QMHP
Counselor (Mental Health)
11560 S KEDZIE AVE STE 200
MERRIONETTE PARK, IL 60803
Cook County (708) 974-5800
MICAELA HUMENIK MSW
Social Worker
11560 S KEDZIE AVE STE 200
MERRIONETTE PARK, IL 60803
Cook County (708) 974-5800
TAURUS GRIFFIN
Case Manager/Care Coordinator
11560 S KEDZIE AVE STE 200
MERRIONETTE PARK, IL 60803
Cook County (773) 343-2785

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roosevelt Walker's NPI number?

The NPI number for Roosevelt Walker is 1386558849. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Where is Roosevelt Walker located?

Roosevelt Walker practices at 11560 S Kedzie Ave Ste 200, Merrionette Park, IL 60803. The listed phone number is (708) 974-5800.

What is Roosevelt Walker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Roosevelt Walker was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.