Christopher Wallace

NPI 1508301466 · on the registry since 2017

Practice

Address: 1919 Skokie Valley Rd
Highland Park, IL 60035
Phone: (224) 765-5500
Fax: (224) 765-5501
Organisation at this address: Illinois Bone And Joint Institute Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-01-03

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