Wallace, Irene D

Wallace, Irene D is an individual health care provider with primary practice located at 1411 Mchenry Rd Suite 225, Buffalo Grove IL 60089-1301. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Wallace, Irene D can be contacted via phone (847) 276-2785.

Contact Information

Primary practice address
1411 Mchenry Rd Suite 225 Buffalo Grove IL 60089-1301
Phone: (847) 276-2785
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1639122658
LBN Legal business name Wallace, Irene D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
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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