Individual
APRIL R WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2034 W 51ST ST, CHICAGO, IL 60609-4712
(773) 299-0098
(773) 375-0098
Mailing address
2034 W 51ST ST, CHICAGO, IL 60609-4712
(773) 299-0098
(773) 375-0098
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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