Christopher Wallace
NPI #1508301466 in Highland Park, Illinois
Provider Information
- NPI Number
- 1508301466
- Entity Type
- Individual
- Name
- Christopher Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Jan 3, 2017
- Last Updated
- Jan 3, 2017
Practice Location
- Address
- 1919 SKOKIE VALLEY RD
- City
- Highland Park
- State
- Illinois
- ZIP Code
- 60035-2361
- Phone
- (224) 765-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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