Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTOPHER WALLACE
ActiveCHRISTOPHER WALLACE is a Athletic Trainer healthcare provider located in HIGHLAND PARK, Illinois. NPI 1508301466 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · HIGHLAND PARK, IL
Registration Details
- NPI Number
- 1508301466
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2017 (9.60223632071 yrs)
- Last Updated
- Jan 3, 2017
- License
-
096-003950 (IL)
Practice Information
- Address
-
1919 SKOKIE VALLEY RDHIGHLAND PARK, IL, 600352361Browse IL providers · Browse ZIP 60035
- Phone
- 2247655500
- Fax
- 2247655501
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in HIGHLAND PARK, IL
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID FOWKES | ATC, MS, FF/PM | 1043289143 |
| JESSICA NEUKAM | ATC | 1346527033 |
| MR. PHILIPPE DUPLESSY | ATC | 1639555113 |
| NICHOLAS JOSHUA KIRSCH | — | 1649735184 |
| THOMAS MICHAEL FISCHETTI | — | 1558950865 |
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.