MRS. Linda Wallace, APN RN

NPI #1225124167 in Washington Park, Illinois

Provider Information

NPI Number: 1225124167
Entity Type: Individual
Name: MRS. Linda Wallace, APN RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: APN RN
Enumeration Date: Oct 5, 2006
Last Updated: Sep 12, 2018

Practice Location

Address: 1835 KINGHIGHWAY
City: Washington Park
State: Illinois
ZIP Code: 62204
Phone: (618) 482-7922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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