KATHLEEN WALLACE

MERRILLVILLE, IN
NPI1225035504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71000826A)
Enumeration Date2005-07-01
Last Update Date2022-12-13
Business Address
KATHLEEN WALLACE APN
90 W 86TH AVE
MERRILLVILLE, IN 46410-7086
Phone number: 219-791-1555
Mailing Address
KATHLEEN WALLACE APN
120 W 22ND ST STE 200
OAK BROOK, IL 60523-1563
Phone number: 630-573-5000
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