Individual
MRS. BATSHEVA RACHEL WALLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
9040 KEYSTONE AVE, SKOKIE, IL 60076-1724
(847) 213-0397
Mailing address
9040 KEYSTONE AVE, SKOKIE, IL 60076-1724
(847) 213-0397
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
15550039
NY
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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