Individual
MRS. ANDREA EVE WALLACH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW MSW
Contact information
Practice address
115 S WILKE RD, 206 D, ARLINGTON HEIGHTS, IL 60005-1532
(847) 256-6426
(847) 967-0929
Mailing address
208 CHARLES PL, WILMETTE, IL 60091-3008
(847) 246-6426
(847) 256-6154
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001673683
BCBS
IL
Enumeration date
11/30/2005
Last updated
07/08/2007
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