Search › Illinois › 1223G0001X
Kevin Wallace, DMD
NPI 1053423285 · on the registry since 2006
Practice
- Address
- 150 E Huron St
Ste 1103
Chicago, IL 60611 - Phone
- (312) 676-9893
- Fax
- (815) 744-7059
- Organisation at this address
- Feely Ltd
Rci (Wrs), Llc.
The Womens Practice
Charles Lockhart Dds
Edward N Tuder Md ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 103
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
122300000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-19
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