Search › Illinois › 207P00000X
Danyale Wallace, M.D
NPI 1992826358 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1901 W Polk Street
Floor 10
Chicago, IL 60612 - Phone
- (312) 964-0060
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-10-29
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