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1659323574
DIANE ELIZABETH WALLIS
DOWNERS GROVE, IL
NPI
1659323574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine Cardiovascular Disease
(Licence: IL 036061857)
Enumeration Date
2006-05-17
Last Update Date
2016-11-29
Business Address
DIANE ELIZABETH WALLIS MD
3825 HIGHLAND AVE SUITE 400
DOWNERS GROVE, IL 60515-1552
Phone number: 630-719-4799
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Mailing Address
DIANE ELIZABETH WALLIS MD
1919 S HIGHLAND AVE SUITE B202 ATTN JAN LEWIS
LOMBARD, IL 60148-6153
Phone number: 630-268-1102
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