Search › Illinois › 172A00000X
Kennedi Wallace
NPI 1063322642 · on the registry since 2026
Practice
- Address
- 90 E Joe Orr Rd
Chicago Heights, IL 60411 - Phone
- (708) 981-9161
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Sex
- Female
- Record last updated
- 2026-09-08
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