Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GISELLE TISHA WALLACE, CNA
ActiveGISELLE TISHA WALLACE, CNA is a Nurse's Aide healthcare provider located in CHGO, Illinois. NPI 1326596321 is currently active in the NPPES registry. Verify at CMS.
Nurse's Aide · CHGO, IL
Registration Details
- NPI Number
- 1326596321
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2016 (9.8829820739375 yrs)
- Last Updated
- Sep 19, 2016
Practice Information
- Address
-
5809 W RICECHGO, IL, 60651Browse IL providers · Browse ZIP 60651
- Phone
- 7735735347
- Primary Specialty
-
Nurse's Aide
376K00000X
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.