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Search › Illinois › 1041C0700X

Veronique Wallace, LCSW

NPI 1437406592 · on the registry since 2012

Practice

Address
1440 Renaissance Dr Ste 320
Park Ridge, IL 60068
Phone
(773) 957-4469
Organisation at this address
Joy Wellness Inc
Dimitrina Vizinas Ltd
Warren Kammerer Md Sc
The Juniper Center Pc
Laura Van Dusen M.D. S.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
71

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-31

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