KENNEDI WALLACE
NPI 1063322642
Driver in Chicago Heights, IL
About Kennedi Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNEDI WALLACE (NPI 1063322642) is an individual driver provider in Chicago Heights, Illinois and active in the NPI registry since September 2026.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kennedi Wallace's NPI number?
The NPI number for Kennedi Wallace is 1063322642. It was assigned to this individual provider in the NPPES registry on September 8, 2026.
Where is Kennedi Wallace located?
Kennedi Wallace practices at 90 E Joe Orr Rd, Chicago Heights, IL 60411. The listed phone number is (708) 981-9161.
What is Kennedi Wallace's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Kennedi Wallace was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kennedi Wallace · NPI 1063322642
Driver provider in Chicago Heights, Illinois. Individual provider, active in the CMS NPPES registry since September 8, 2026.
## Identity
- **NPI:** 1063322642 (Entity type: Individual)
- **Enumerated:** September 8, 2026
- **Primary specialty:** Driver · taxonomy 172A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 90 E JOE ORR RD, Chicago Heights, IL 60411-1374
- **Phone:** (708) 981-9161
## Record status
- **NPPES last updated:** September 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063322642) · Data from the CMS NPPES public registry.