Individual
ERIN MAUREEN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 S NAPERVILLE ROAD, SUITE 200, WHEATON, IL 60189
(630) 653-9700
Mailing address
19W286 GOVERNORS TRL, OAK BROOK, IL 60523-1030
(516) 567-5966
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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