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

Miranda Standberry-Wallace

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073319380

Miranda Standberry-Wallace is a Student in an Organized Health Care Education/Training Program in South Holland, Illinois. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

538 W Sibley Blvd
South Holland, IL 60473-1095
Phone: (708) 228-1220
Show map & directions

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

Additional practice locations (1)

  • 1240 W 103rd St, Chicago, IL 60643-2361 — (708) 228-1220

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073319380
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 19, 2025
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025
Mailing address538 W Sibley Blvd, South Holland, IL 60473-1095

Other providers in South Holland