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Search › Illinois › 363LF0000X

Nathasa Wallace, FNP

NPI 1326420530 · on the registry since 2015 · sole proprietor

Practice

Address
31 W 155th St
Harvey, IL 60426
Phone
(708) 596-5177
Fax
(708) 596-5518
Organisation at this address
Medcentrix Inc
Medcentrix Inc
J And M Pharmacy Inc
Grand Prairie Services
Family Christian Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Additional practice sites

  • 5906 N Milwaukee Ave, Chicago, IL

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-16

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