Susan R Wallace is a mental health counselor in Chicago, IL. Susan R Wallace NPI is 1043958176. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2715 N CENTRAL AVE
CHICAGO, IL
ZIP 60639-351
Phone: (773) 360-1389
The enumeration date for this NPI number is 5/27/2022 and was last updated on 5/27/2022.