Kathleen Wallace is a Nurse Practitioner based in Oak Brook, IN. Kathleen Wallace practices in Merrillville, IN and has the professional credentials of APN. The NPI Number for Kathleen Wallace is 1225035504 and holds a License No. 71000826A (Indiana).
The current practice location address for Kathleen Wallace is 90 W 86Th Ave, Merrillville, IN and can be reached out via phone at 219-791-1555 and via fax at 219-791-1560. You can also correspond with Kathleen Wallace through the mailing address at 120 W 22ND ST STE 200, OAK BROOK, IL - 60523-1563 (mailing address contact number: 630-573-5000).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000331131 | 01 | IN | ANTHEM BCBS NUMBER |
| 100082060 | 05 | IN | |
| 200280140B | 05 | IN | |
| 500012853 | 01 | IN | RR MEDICARE |
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