Individual provider · Type 1 NPI
Linda Wallace, APN RN
Specialist · Washington Park, IL
NPI number
1225124167
Active
Practice location
1835 Kinghighway
Washington Park, IL 62204
Fax (618) 482-7881
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 209003499 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1225124167
Linda Wallace, APN RN's National Provider Identifier is 1225124167, issued on Oct 5, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Washington Park, IL. The record was last updated on Sep 29, 2026.