Wallace, Christopher
Wallace, Christopher is an individual health care provider with primary practice located at 1919 Skokie Valley Rd , Highland Park IL 60035-2361. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Wallace, Christopher can be contacted via phone (224) 765-5500.Contact Information
Primary practice address
1919 Skokie Valley Rd
Highland Park IL 60035-2361
Phone: (224) 765-5500
Fax: (224) 765-5501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 096-003950 | Illinois |
Profile Details
| NPI number | 1508301466 |
|---|---|
| LBN Legal business name | Wallace, Christopher |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2017 |
| Last updated | Jan 3rd, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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