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DAVID CLAYTON WALTHALL FNP, MSN, BSN
NPI 1619477965
Nurse Practitioner - Family in Chicago, IL

Active since February 13, 2018
1340 S DAMEN AVE, CHICAGO, IL 60608(312) 997-7200 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David Clayton Walthall Fnp, Msn, Bsn NPPES

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

DAVID CLAYTON WALTHALL FNP, MSN, BSN (NPI 1619477965) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.017198) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1619477965
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDAVID CLAYTON WALTHALLCredential: FNP, MSN, BSN
Location Address1340 S DAMEN AVEChicago, IL 60608-1169
Mailing Address1340 S Damen AveChicago, IL 60608-1169
Phone(312) 997-7200
Sole ProprietorYes
Enumeration DateFebruary 13, 2018
✔ NPI 1619477965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.017198
1340 S DAMEN AVE, Chicago, IL 60608
Open in Google Maps ↗

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.

MICHAEL N WILSON
Counselor (Mental Health)
1340 S DAMEN AVE
CHICAGO, IL 60608
Cook County (312) 738-5926
DR. ERNESTINE HAMBRICK M.D.
Colon & Rectal Surgery
1340 S DAMEN AVE, SUITE 200
CHICAGO, IL 60608
Cook County (312) 997-7200
BRENDA GOMEZ HERRERA LCSW
Social Worker (Clinical)
1340 S DAMEN AVE
CHICAGO, IL 60608
Cook County (312) 762-2719
MAYA OYARBIDE-SANCHEZ MA, LCPC
Counselor (Professional)
1340 S DAMEN AVE, MEZZANINE SUITE C
CHICAGO, IL 60608
Cook County (312) 762-2745
CARLY MANSHUM BSW
Social Worker
1340 S DAMEN AVE
CHICAGO, IL 60608
Cook County (773) 680-2275
THELMA MICHELLE HOLT-NICHOLSON FNP-BC
Nurse Practitioner (Family)
1340 S DAMEN AVE
CHICAGO, IL 60608
Cook County (877) 663-1333
SUZANNE ISENBERG
Social Worker (Clinical)
1340 S DAMEN AVE
CHICAGO, IL 60608
Cook County (312) 949-4340
SHERIDAN KEETER NP
Nurse Practitioner
1340 S DAMEN AVE, STE 210
CHICAGO, IL 60608
Cook County (773) 292-4800

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 David Walthall's NPI number?

The NPI number for David Walthall is 1619477965. It was assigned to this individual provider in the NPPES registry on February 13, 2018.

Where is David Walthall located?

David Walthall practices at 1340 S Damen Ave, Chicago, IL 60608. The listed phone number is (312) 997-7200.

What is David Walthall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for David Walthall was last updated on February 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.