Tiara Wallace
Tiara Wallace is a Registered Nurse in Woodridge, Illinois. Licensed in Illinois. Registered with an NPI since 2025.
- Licensed in
- IL
- In the registry since
- 2025
Practice location Address checks out
2363 63rd St Ste 103Woodridge, IL 60517-1300
Phone: (630) 856-8700
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Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 041557107 (IL) |
|---|
Record details
| NPI number | 1427927037 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 3, 2025 |
| Last updated in NPPES | November 3, 2025 |
| Certification date | November 2, 2025 |
| Mailing address | 2363 63rd St Ste 103, Woodridge, IL 60517-1300 |
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