Dr. Sara Wallace
Adult Reconstructive Orthopaedic Surgeon
5814 S Maryland Ave # Mc3079
Chicago
, Illinois 60637
Dr. Sara Wallace
Adult Reconstructive Orthopaedic Surgeon
5814 S Maryland Ave # Mc3079
Chicago
, Illinois 60637
(773) 702-4765
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Sara Wallace
- 5814 S Maryland Ave # Mc3079
- Chicago, IL
- Zip : 60637-1462
- Fax : (773) 702-4765
- Phone : (737) 834-3531
Second Address
- Dr. Sara Wallace
- 5814 S Maryland Ave # Mc3079
- Chicago, IL
- Zip : 60637
- Fax : (773) 702-4765
- Phone : (737) 834-3531
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 036.142690 | IL |
National Provider Identifier
| NPI | 1174899207 |
|---|---|
| Provider Name | Dr. Sara Wallace |
| First Address | Chicago, IL 60637-1462 |
| Second Address | Chicago, IL 60637 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2012 |
| Last Update Date | 13/09/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.