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

LAWANDA WALLACE

Active Sole Proprietor

LAWANDA WALLACE is a Private Vehicle healthcare provider located in CHICAGO, Illinois. NPI 1154788875 is currently active in the NPPES registry. Verify at CMS.

Private Vehicle · CHICAGO, IL

Registration Details

NPI Number
1154788875
Provider Type
Individual
Gender
Female
NPI Issued
Jan 26, 2016 (10.545331557569 yrs)
Last Updated
Jan 26, 2016
License
W42053371706 (IL)
Sole Proprietor
Yes

Practice Information

Address
11559 S OAKLEY AVE
CHICAGO, IL, 606434721
Browse IL providers · Browse ZIP 60643
Phone
7733916689
Primary Specialty
Private Vehicle
347C00000X

Other Private Vehicle Providers in CHICAGO, IL

Name Credential NPI
MS. JOSEILYN MICHELLE WASHINGTON 1487883211
SHAWANA BAGGETT 1770800419
MRS. SHOLONDA L PARKER 1609170547
MR. TELLY R SHELTON SR. 1811373418
HEBERT TASCON INC 1164895165
RUBEN SAUER 1891153839
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.