Search › Illinois › 171100000X
Robert Wallace, LAC, LMT
NPI 1487991683 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1619 W Montrose
Chicago Holistic Medicine
Chicago, IL 60613 - Phone
- (773) 248-4489
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-08
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