Tiffany Chantal Wallace
Tiffany Chantal Wallace is a Developmental Therapist in Broadview, Illinois. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
2312 S 23rd AveBroadview, IL 60155-3819
Phone: (708) 299-3769
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1720991987 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 28, 2026 |
| Last updated in NPPES | September 28, 2026 |
| Certification date | September 27, 2026 |
Other providers in Broadview
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MS. Letitia Davis, DT
1030 W 18th St, Broadview, IL 60155-5820 · (708) 450-9383
-
Jewel Dean Nolden
2239 S 19th Ave, Broadview, IL 60155-3939 · (312) 304-1254