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

Vincent Wallace, MA

Individual provider Substance Use Disorder Rehabilitation Clinic/Center · NPI 1144852260

Vincent Wallace, MA is a Substance Use Disorder Rehabilitation Clinic/Center in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

See every abbreviation used in this directory →

Practice location Address checks out

226 W Ontario St
Chicago, IL 60654-3619
Phone: (312) 912-7008
Fax: (312) 533-2842
Show map & directions

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

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1144852260
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedFebruary 6, 2020
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020
Mailing address19050 Maple Ave, Country Club Hills, IL 60478-5737

Other providers in Chicago