Individual
MR. KEITH V. WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
CHILDREN'S MEMORIAL HOSPITAL, 2300 CHILDREN'S PLAZA, BOX 10, CHICAGO, IL 60614
(773) 975-8604
Mailing address
CHILDREN'S MEMORIAL HOSPITAL, 2300 CHILDREN'S PLAZA, BOX 10, CHICAGO, IL 60614
(773) 975-8604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149-012034
IL
Other
Enumeration date
01/24/2007
Last updated
10/27/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us