SearchIllinoisSubstance Use Disorder Rehabilitation Clinic/Center

Vincent Wallace, MA

NPI 1144852260 · on the registry since 2020 · sole proprietor

Practice

Address
226 W Ontario St
Chicago, IL 60654
Phone
(312) 912-7008
Fax
(312) 533-2842
Clinicians at this address
9

Registry record

Primary taxonomy
Substance Use Disorder Rehabilitation Clinic/Center
261QR0405X
Sex
Male
Record last updated
2020-02-06

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