Organization · Type 2 NPI

Elisabeth I. Wallner, M.d., S.c.

Primary Care Clinic/Center · Chicago, IL

NPI number 1396915955 Active

Practice location

676 N St Clair, Suite 2250
Chicago, IL 60611

Call (312) 926-0888 Map

Fax (312) 926-0889

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X36089720 (IL)

Primary Care Clinic/Center: Definition to come...

11 other providers at this address

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About NPI 1396915955

Elisabeth I. Wallner, M.d., S.c.'s National Provider Identifier is 1396915955, issued on Mar 10, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Chicago, IL. The record was last updated on May 8, 2012.