| Mrs Aunderia Denise Wallace, | |
|
535 49th Ave, Bellwood, IL 60104-1733 | |
| (708) 267-4044 | |
| Not Available |
| Full Name | Mrs Aunderia Denise Wallace |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 535 49th Ave, Bellwood, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578183364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.026896 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Aunderia Denise Wallace, 535 49th Ave, Bellwood, IL 60104-1733 Ph: (708) 267-4044 | Mrs Aunderia Denise Wallace, 535 49th Ave, Bellwood, IL 60104-1733 Ph: (708) 267-4044 |
Angela Nicole Broom, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 552 52nd Ave, Bellwood, IL 60104 Phone: 708-925-2966 Fax: 708-486-0145 | |
Maribel Caguana, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 456 25th Ave, Bellwood, IL 60104 Phone: 872-250-6257 | |
Kenneth James Leggin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1046 Eastern Ave, Bellwood, IL 60104 Phone: 630-643-6615 |