Wally, Laura L
Wally, Laura L is an individual health care provider with primary practice located at 4999 Old Orchard Shopping Center, Ste F12 & F13 , Skokie IL 60077. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wally, Laura L can be contacted via phone (312) 219-2230.Contact Information
Primary practice address
4999 Old Orchard Shopping Center, Ste F12 & F13
Skokie IL 60077
Phone: (312) 219-2230
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036106292 | Illinois |
Profile Details
| NPI number | 1356352710 |
|---|---|
| LBN Legal business name | Wally, Laura L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Apr 27th, 2022 - about 2 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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