Individual
ANNIKA MAY WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-6730
(773) 665-3401
Mailing address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-6730
(773) 665-3401
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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