Individual
ISABELLA NICOLE WALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 W HAWTHORN DR, ITASCA, IL 60143-2056
(800) 844-1232
Mailing address
94 S LODGE LN, LOMBARD, IL 60148-2917
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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