ERICKA WALLACE

Nutritionist

Active Individual
NPI: 1528932506

Practice Address

PO BOX 665
Matteson, IL 60443

Phone: (312) 613-3335

Specialties

Specialty Code Primary License
Nutritionist 133N00000X Yes 18343 (IL)

Frequently Asked Questions

NPI 1528932506 is the National Provider Identifier for ERICKA WALLACE, a Nutritionist provider located in Matteson, IL. This NPI was enumerated on October 2, 2025.
ERICKA WALLACE practices at PO BOX 665, Matteson, IL 60443.

Quick Facts

NPI
1528932506
Type
Individual
Enumerated
Oct 2, 2025
Last Updated
Oct 2, 2025

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