Individual
KATHLEEN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1554 E 55TH ST, CHICAGO, IL 60615-5550
(630) 303-5380
Mailing address
750 N COMMONS DR STE 200, AURORA, IL 60504-7940
(630) 303-5380
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
7451
CA
Other
Enumeration date
01/28/2015
Last updated
04/18/2022
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