Wallace, Lawanda

Wallace, Lawanda is an sole proprietor health care provider with primary practice located at 11559 S Oakley Ave , Chicago IL 60643-4721. She recently has only one registered license in Transportation Services / Private Vehicle, which is considered as her primary health care specialty. Wallace, Lawanda can be contacted via phone (773) 391-6689.

Contact Information

Primary practice address
11559 S Oakley Ave Chicago IL 60643-4721
Phone: (773) 391-6689
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Private Vehicle 347C00000X W42053371706 Illinois

Profile Details

NPI number 1154788875
LBN Legal business name Wallace, Lawanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2016
Last updated Jan 26th, 2016 - about 8 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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