Julian Wallis
Julian Wallis is a Student in an Organized Health Care Education/Training Program in Evanston, Illinois. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
800 Elgin Rd Apt 1316Evanston, IL 60201-5629
Phone: (312) 273-8704
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1063112720 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 9, 2023 |
| Last updated in NPPES | March 9, 2023 |
| Certification date | March 2, 2023 |
| Mailing address | 800 Elgin Rd Apt 1316, Evanston, IL 60201-5629 |
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