SearchIllinois133V00000X

Elizabeth Wall, R.D

NPI 1740200732 · on the registry since 2006 · sole proprietor

Practice

Address
5847 S. Maryland Ave
Mc 4080
Chicago, IL 60637
Phone
(773) 834-2876
Fax
(773) 702-6972

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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