Individual
SUZANNE L. WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
801 S WASHINGTON ST FL 4, NAPERVILLE, IL 60540-7430
(630) 600-0700
(630) 600-0701
Mailing address
801 S WASHINGTON ST FL 4, NAPERVILLE, IL 60540-7430
(630) 600-0700
(630) 600-0701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209000508
IL
363LA2100X
Acute Care Nurse Practitioner
209000508
IL
Other
Enumeration date
02/21/2006
Last updated
05/11/2026
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