Individual provider · Type 1 NPI
Kennedi Wallace
Driver · Chicago Heights, IL
NPI number
1063322642
Active
Practice location
90 E Joe Orr Rd
Chicago Heights, IL 60411-1374
Mailing address
2767 Lawlor Ln
Naperville, IL 60564-1039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Chicago Heights
About NPI 1063322642
Kennedi Wallace's National Provider Identifier is 1063322642, issued on Sep 8, 2026. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Chicago Heights, IL. The record was last updated on Sep 8, 2026.