GABRIEL ABRAHAM WALLACE

PALOS HEIGHTS, IL
NPI1609142074
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2086S0129X 
(Licence: IL  036142476)
Additional Taxonomies208600000X Surgery
(Licence: IL  036142476)
Enumeration Date2012-03-29
Last Update Date2023-08-31
Business Address
Dr. GABRIEL ABRAHAM WALLACE MD
12251 S 80TH AVE STE 1520
PALOS HEIGHTS, IL 60463-1290
Phone number: 708-923-4200
Mailing Address
Dr. GABRIEL ABRAHAM WALLACE MD
PO BOX 84992
CHICAGO, IL 60689-4992
Phone number: 918-710-3710
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