WARREN H. WALLACE

CHICAGO, IL
NPI1801811831
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  IL 036-055938)
Enumeration Date2006-07-12
Last Update Date2007-07-08
Business Address
Dr. WARREN H. WALLACE MD
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-695-9906
Mailing Address
Dr. WARREN H. WALLACE MD
9828 KEELER AVE
SKOKIE, IL 60076-1176
Phone number: 847-673-4807
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