Wallace, Darlene J

Wallace, Darlene J is an individual health care provider with primary practice located at 1701 E Woodfield Rd Suite 321, Schaumburg IL 60173. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wallace, Darlene J can be contacted via phone (773) 775-0097.

Contact Information

Primary practice address
1701 E Woodfield Rd Suite 321 Schaumburg IL 60173
Phone: (773) 775-0097
Fax: (847) 413-0429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1598819989
LBN Legal business name Wallace, Darlene J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598819989 NPPES
Illinois Other 01671233 BLUE CROSS OF IL

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