EARNEST WALLACE

BLUE ISLAND, IL
NPI1548658149
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2015-01-05
Last Update Date2015-01-05
Business Address
EARNEST WALLACE
13136 WESTERN AVE
BLUE ISLAND, IL 60406-2423
Phone number: 708-974-5815
Mailing Address
EARNEST WALLACE
13136 WESTERN AVE
BLUE ISLAND, IL 60406-2423
Phone number: 708-974-5815