Individual provider · Type 1 NPI

Leslie E. Wallace, RN

Registered Nurse · Westchester, IL

NPI number 1669390290 Active

Practice location

2136 Suffolk Ave
Westchester, IL 60154-4442

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	041.339042 (IL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1669390290

Leslie E. Wallace, RN's National Provider Identifier is 1669390290, issued on Jul 9, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Westchester, IL. The record was last updated on Jul 9, 2026.