Search › Illinois › 363LP0200X
Kathleen Wallach, APN
NPI 1609212257 · on the registry since 2013 · sole proprietor
Practice
- Address
- 4440 W 95th St
Oak Lawn, IL 60453 - Phone
- (708) 684-5580
- Fax
- (708) 684-4068
- Organisation at this address
- Uic
Stacie Ward
Walgreen Co
Surgical Partners
Advocate Christ HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,126
Additional practice sites
- 911 N Elm St Ste 215, Hinsdale, IL
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Also registered as
- 208000000X
363L00000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-16
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