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

Lawanda Wallace

Individual provider Private Vehicle · NPI 1154788875

Lawanda Wallace is a Private Vehicle in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2016

Practice location Address checks out

11559 S Oakley Ave
Chicago, IL 60643-4721
Phone: (773) 391-6689
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Private Vehicle (primary) Taxonomy 347C00000X · Licence W42053371706 (IL)

Record details

NPI number1154788875
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 26, 2016
Last updated in NPPESJanuary 26, 2016
Mailing address11559 S Oakley Ave, Chicago, IL 60643-4721

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