Wallace, Robert J

Wallace, Robert J is an sole proprietor health care provider with primary practice located at 1619 W Montrose Chicago Holistic Medicine, Chicago IL 60613. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Wallace, Robert J can be contacted via phone (773) 248-4489.

Contact Information

Primary practice address
1619 W Montrose Chicago Holistic Medicine Chicago IL 60613
Phone: (773) 248-4489
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 198000640 Illinois

Profile Details

NPI number 1487991683
LBN Legal business name Wallace, Robert J
Credentials LAC, LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2013
Last updated Jan 8th, 2013 - about 13 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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