Individual
DR. GARY B WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
30 N MICHIGAN AVE, #718, CHICAGO, IL 60602-3402
(312) 802-7261
Mailing address
30 N MICHIGAN AVE, #718, CHICAGO, IL 60602-3402
(312) 802-7261
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Enumeration date
10/05/2006
Last updated
04/19/2008
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