Search › Illinois › 183500000X
Jovante Wallace, PHARM.D
NPI 1063175842 · on the registry since 2021
Practice
- Address
- 83 Oakton Dr
Lombard, IL 60148 - Phone
- (904) 423-7863
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
183500000X
183500000X - Licence states on file
- WI, TX, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-18
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