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Susan Wallace
NPI 1043958176 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2715 N Central Ave
Chicago, IL 60639 - Phone
- (773) 360-1389
- Organisation at this address
- Jay Sweis D.D.S P.C
Central Medical Specialists Llc
Central Medical Specialists, Llc
Carolina Therapeutic Services, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Sex
- Female
- Record last updated
- 2022-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois