BENJAMIN NISHAN WALL

WAUKEGAN, IL
NPI1669200093
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2024-07-25
Last Update Date2024-07-25
Business Address
BENJAMIN NISHAN WALL
415 WASHINGTON ST STE 200
WAUKEGAN, IL 60085-5564
Phone number: 847-441-5600
Mailing Address
BENJAMIN NISHAN WALL
3657 N WHIPPLE ST APT 1F
CHICAGO, IL 60618-4519
Phone number: 559-799-1139