VINCENT WALLACE


Address: 226 W Ontario St, Chicago, IL 60654-3619
Phone: 3129127008

VINCENT WALLACE (NPI# 1144852260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144852260
Entity Type Individual
Full Name VINCENT WALLACE
Credential MA
Practice Address 226 W Ontario St
Chicago
IL 60654-3619
Mailing Address 19050 Maple Ave
Country Club Hills
IL 60478-5737
Practice Telephone 3129127008
Practice Fax Number 3125332842
Mailing Telephone 7086123784
Enumeration Date 2020-02-06
Last Update Date 2020-02-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Office Location

Street Address 226 W ONTARIO ST
City CHICAGO
State IL
Zip Code 60654-3619

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912523564 Male-order Men's Health LLC Pharmacy 710 N. Dearborn St., Chicago, IL 60654 2020-06-19
1669014924 Tanner John Magee Chiropractor 415 N. Lasalle St., Suite 605, Chicago, IL 60654 2019-10-08
1144873886 Fraeda Friedman Social Worker 451 N Lasalle Dr, Chicago, IL 60654 2019-07-22
1568024040 Robin Elizabeth Miller Dietitian, Registered 770 North Lasalle Street, Suite 800, Chicago, IL 60654 2019-07-03
1487115804 Ontario Street Operatory Fac Clinic/Center 22 W Ontario Street Operatory, Chicago, IL 60654 2019-03-28
1134697683 Ghazal Kermani Dentist 350 North Clark Street, Suite 600, Chicago, IL 60654 2018-11-02
1225516842 Tyler Jonathan Hinkel Radiology 33 W Ontario St Apt 46f, Chicago, IL 60654 2018-08-06
1710495312 Mia Zarlengo Dietitian, Registered 770 N Lasalle Dr, 800, Chicago, IL 60654 2018-01-17
1568970341 Kelly Lyons Acupuncturist 770 N Lasalle St., Suite 800, Chicago, IL 60654 2018-01-16
1407367568 Amy Mcnicholas Counselor 721 N Lasalle, Chicago, IL 60654 2017-10-17
Find all providers in zip 60654

Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053957993 Safer Foundation Clinic/Center 769 W Jackson, Unit G, Chicago, IL 60661 2019-11-26
1255977195 Safer Foundation Clinic/Center 6352 W Grand Ave, Chicago, IL 60639-2650 2019-11-26
1063068492 The Threshold Clinic/Center 3015 W Harrison St, Chicago, IL 60612 2019-08-12
1790338150 Solleys House Clinic/Center 4163 S Archer Ave, Chicago, IL 60632-1870 2019-07-24
1366925489 Lurie Children's Adolescent Substance Abuse and Prevention Progarm Clinic/Center 1440 N Dayton St, Chicago, IL 60642-2644 2018-09-13
1710482815 Gateway Foundation, Inc. Clinic/Center 415 N Dearborn St Ste 510, Chicago, IL 60654-4626 2018-03-29
1366957292 Maryville Academy Clinic/Center 1510 N Claremont Ave, Chicago, IL 60622-1710 2017-12-14
1053836395 Aunt Martha's Health and Wellness, Inc. Clinic/Center 5001 S Michigan Ave Ste B, Chicago, IL 60615-2112 2017-08-08
1437679255 Sixto Garcia Clinic/Center 1100 W. Cermak Rd, Chicago, IL 60608 2017-06-22
1265979694 Renewed Hope Community Services Clinic/Center 618 E 71st St, Chicago, IL 60619-1244 2017-01-24
Find all providers in CHICAGO

Competitor

Search similar providers

City CHICAGO
Zip Code 60654

Improve Information

Please comment or provide details below to improve the information on VINCENT WALLACE.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches