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Mrs. Linda Wallace, APNRN
Specialist in Washington Park, Illinois
NPI 1225124167

Linda Wallace is a Specialist based in Washington Park, IL. Linda Wallace practices in Washington Park, IL and has the professional credentials of APNRN. The NPI Number for Linda Wallace is 1225124167 and holds a License No. 209003499 (Illinois).

The current practice location address for Linda Wallace is 1835 Kinghighway, Washington Park, IL and can be reached out via phone at 618-482-7922 and via fax at 618-482-7881.

Location: 1835 Kinghighway, Washington Park, IL, 62204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225124167
Provider Name
Linda Wallace
Credential
APNRN
Provider Entity Type
Individual
Gender
Female
Address
1835 Kinghighway, Washington Park, IL, 62204
Phone Number
618-482-7922
Fax Number
618-482-7881
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209003499 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
1835 Kinghighway
City
Washington Park
State
Illinois
Zip
62204
Phone Number
618-482-7922
Fax Number
618-482-7881
person
Provider Business Mailing Address Details
Address
1835 Kinghighway
City
Washington Park
State
Illinois
Zip
62204
Phone Number
618-482-7922
Fax Number
618-482-7881
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
209003499 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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