LANCE T WALLACE

MATTESON, IL
NPI1538100128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036085478)
Enumeration Date2006-06-08
Last Update Date2021-03-15
Business Address
LANCE T WALLACE M.D.
20939 S CICERO AVE
MATTESON, IL 60443-1620
Phone number: 708-709-9375
Mailing Address
LANCE T WALLACE M.D.
35318 EAGLE WAY
CHICAGO, IL 60678-1353
Phone number: 317-865-8988
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