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Search › Illinois › 104100000X

Taylor Wallis, LSW

NPI 1427861988 · on the registry since 2025

Practice

Address
2125 S Neil St
Champaign, IL 61820
Phone
(217) 352-0200
Fax
(217) 607-1139
Organisation at this address
Keri Powell Therapy Inc
Midwest Surgical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
47

Additional practice sites

  • 208 S Market St, Monticello, IL

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-11

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