Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Earnest Wallace

Individual provider Case Manager/Care Coordinator · NPI 1548658149

Earnest Wallace is a Case Manager/Care Coordinator in Blue Island, Illinois. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

13136 Western Ave
Blue Island, IL 60406-2423
Phone: (708) 974-5815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1548658149
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 5, 2015
Last updated in NPPESJanuary 5, 2015
Mailing address13136 Western Ave, Blue Island, IL 60406-2423

Other providers in Blue Island