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Kacie Wall
NPI 1750712121 · on the registry since 2013
Practice
- Address
- 12 N 64th St
Belleville, IL 62223 - Phone
- (618) 397-0900
- Organisation at this address
- Genoa Healthcare Llc
Chestnut Health Systems Inc
Chestnut Health Systems Inc
Chestnut Health Systems Inc.
Chestnut Health Systems, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 54
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
- 2013-12-10
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