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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRANDA STANDBERRY-WALLACE

Active

MIRANDA STANDBERRY-WALLACE is a Case Manager healthcare provider located in SOUTH HOLLAND, Illinois. NPI 1073319380 is currently active in the NPPES registry. Verify at CMS.

Case Manager · SOUTH HOLLAND, IL

Registration Details

NPI Number
1073319380
Provider Type
Individual
Gender
Female
NPI Issued
Feb 19, 2025 (1.5142618382887 yrs)
Last Updated
Apr 10, 2025

Practice Information

Address
538 W SIBLEY BLVD
SOUTH HOLLAND, IL, 604731095
Browse IL providers · Browse ZIP 60473
Phone
7082281220
Primary Specialty
Case Manager
171M00000X
Additional Specialty
Case Manager

Other Case Manager Providers in SOUTH HOLLAND, IL

Name Credential NPI
AMINAT ABISOLA ISHADIMU 1922597186
STEPHANIE HENRY 1760010771
CLINTON DONALD JR. 1114541901
MIRIAM STANDBERRY-SANDERS 1659177954
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.