EARNEST WALLACE
Case Manager/Care Coordinator
Active
Individual
NPI: 1548658149
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes | - |
Frequently Asked Questions
NPI 1548658149 is the National Provider Identifier for EARNEST WALLACE, a Case Manager/Care Coordinator provider located in Blue Island, IL. This NPI was enumerated on January 5, 2015.
EARNEST WALLACE practices at 13136 WESTERN AVE, Blue Island, IL 60406.
Quick Facts
- NPI
- 1548658149
- Type
- Individual
- Enumerated
- Jan 5, 2015
- Last Updated
- Jan 5, 2015
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