Search › Illinois › 1041C0700X
Aunderia Wallace
NPI 1578183364 · on the registry since 2020 · sole proprietor
Practice
- Address
- 535 49th Ave
Bellwood, IL 60104 - Phone
- (708) 267-4044
Additional practice sites
- 10001 Grand Ave, Franklin Park, IL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-02
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