Wallace, Vincent

Wallace, Vincent is an sole proprietor health care provider with primary practice located at 226 W Ontario St , Chicago IL 60654-3619. He recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as his primary health care specialty. Wallace, Vincent can be contacted via phone (312) 912-7008.

Contact Information

Primary practice address
226 W Ontario St Chicago IL 60654-3619
Phone: (312) 912-7008
Fax: (312) 533-2842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1144852260
LBN Legal business name Wallace, Vincent
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2020
Last updated Feb 6th, 2020 - about 4 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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