Individual
LAWANDA WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11559 S OAKLEY AVE, CHICAGO, IL 60643-4721
(773) 391-6689
Mailing address
11559 S OAKLEY AVE, CHICAGO, IL 60643-4721
(773) 391-6689
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
W42053371706
IL
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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