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1992826358
DANYALE A WALLACE
CHICAGO, IL
NPI
1992826358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 336076552)
Enumeration Date
2007-04-03
Last Update Date
2008-10-29
Business Address
Dr. DANYALE A WALLACE M.D.
1901 W POLK STREET FLOOR 10
CHICAGO, IL 60612
Phone number: 312-964-0060
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Mailing Address
Dr. DANYALE A WALLACE M.D.
300 W NORTH AVE APT. 302
CHICAGO, IL 60610-1248
Phone number: 312-274-9694
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