| Tiara Wallace, | |
|
2363 63rd St Ste 103, Woodridge, IL 60517-1300 | |
| (630) 856-8700 | |
| Not Available |
| Full Name | Tiara Wallace |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 2363 63rd St Ste 103, Woodridge, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427927037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041557107 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tiara Wallace, 2363 63rd St Ste 103, Woodridge, IL 60517-1300 Ph: (630) 856-8700 | Tiara Wallace, 2363 63rd St Ste 103, Woodridge, IL 60517-1300 Ph: (630) 856-8700 |
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Jennyfer Han The Covarrubias, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7125 Janes Ave, Woodridge, IL 60517 Phone: 331-251-6200 | |
Vickie Susan Nelson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7125 Janes Ave Ste 300, Woodridge, IL 60517 Phone: 630-981-8000 | |
Courtney Wyeth, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7125 Janes Ave Ste 300, Woodridge, IL 60517 Phone: 630-413-5800 | |
Julie Kuraja Jumes, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7125 Janes Ave, Woodridge, IL 60517 Phone: 630-981-8000 | |
Mrs. Bonnafe I Baticados, BSN, RN, WCC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3241 Justamere Rd, Woodridge, IL 60517 Phone: 630-544-8517 | |
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