Linda Wallace is a Specialist in Washington Park, Illinois. Linda Wallace practices all healthcare services and medical treatments related to Specialist. The NPI Number for Linda Wallace is 1225124167. The last update date is 2018-09-12.
Linda Wallace's current location address is 1835 Kinghighway, Washington Park, Illinois. You can contact this provider via phone number 6184827922 and fax number 6184827881. The mailing address for Linda Wallace is 1835 Kinghighway, Washington Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Linda Wallace |
|---|---|
| Address | 1835 Kinghighway, Washington Park, Illinois |
| Phone Number | 6184827922 |
| Fax Number | 6184827881 |
| Sole Proprietor | N |
| Credentials | APN RN |
NPI Number Detail
| NPI Number | 1225124167 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2018-09-12 |
Provider Mailing Address Detail
| Address | 1835 Kinghighway |
|---|---|
| City | Washington Park |
| State | Illinois (IL) |
| Post Code | 62204 |
| Phone Number | 6184827922 |
| Fax Number | 6184827881 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 209003499 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 209003499 | IL | LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Linda Wallace by the Centers for Medicare & Medicaid Services?
The Linda Wallace has been issued the NPI (National Provider Identifier) 1225124167. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Linda Wallace's facilities are situated?
The facilities of Linda Wallace are physically located at the following address: 1835 Kinghighway, Washington Park, IL, 62204.
What is the Linda Wallace's area of specialization and corresponding taxonomy classification?
The Linda Wallace's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Linda Wallace receive its 1225124167 assignment from the Centers for Medicare & Medicaid Services?
The Linda Wallace was assigned its 1225124167 by the Centers for Medicare & Medicaid Services on 2006-10-05.
When was the information regarding Linda Wallace, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Linda Wallace, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-09-12.
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