KEITH V. WALLACE

CHICAGO, IL
NPI1104971712
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: IL  149-012034)
Enumeration Date2007-01-24
Last Update Date2008-10-27
Business Address
Mr. KEITH V. WALLACE L.C.S.W.
CHILDREN'S MEMORIAL HOSPITAL 2300 CHILDREN'S PLAZA, BOX 10
CHICAGO, IL 60614
Phone number: 773-975-8604
Mailing Address
Mr. KEITH V. WALLACE L.C.S.W.
CHILDREN'S MEMORIAL HOSPITAL 2300 CHILDREN'S PLAZA, BOX 10
CHICAGO, IL 60614
Phone number: 773-975-8604
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