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

Nicole Wallace

Individual provider Pharmacy Technician · NPI 1285507301

Nicole Wallace is a Pharmacy Technician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

675 N Saint Clair St Ste 19-100
Chicago, IL 60611-5969
Phone: (312) 926-2749
Fax: (312) 694-6830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy Technician (primary) Taxonomy 183700000X · Licence 049290929 (IL)

Record details

NPI number1285507301
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2025
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969

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