Search › Illinois › 103TS0200X
Mary Wallace
NPI 1528585031 · on the registry since 2017
Practice
- Address
- 1605 E Ash St
Canton, IL 61520 - Phone
- (309) 647-6951
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Sex
- Female
- Record last updated
- 2022-07-21
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