Individual
MS. MARGARET MARY WALLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.- C
Contact information
Practice address
15300 WEST AVE, SUITE 200 EAST, ORLAND PARK, IL 60462-4600
(630) 347-1025
Mailing address
15300 WEST AVE, SUITE 200 EAST, ORLAND PARK, IL 60462-4600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.000299
IL
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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