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Linda Wallace, APN RN
NPI 1225124167 · on the registry since 2006
Practice
- Address
- 1835 Kinghighway
Washington Park, IL 62204 - Phone
- (618) 482-7922
- Fax
- (618) 482-7881
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-12
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