Search › Illinois › 133N00000X
Ericka Wallace
NPI 1528932506 · on the registry since 2025
Practice
- Address
- Po Box 665
Matteson, IL 60443 - Phone
- (312) 613-3335
Registry record
- Primary taxonomy
- 133N00000X
133N00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-02
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