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Kathleen Wallace
NPI 1225428212 · on the registry since 2015
Practice
- Address
- 1554 E 55th St
Chicago, IL 60615 - Phone
- (630) 303-5380
- Organisation at this address
- Walgreen Co
Audionova Llc
Gwa Optical Llc
Connect Hearing, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-18
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