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MIRANDA STANDBERRY-WALLACE
NPI 1073319380
Case Manager/Care Coordinator in South Holland, IL

Active since February 19, 2025
538 W SIBLEY BLVD, SOUTH HOLLAND, IL 60473(708) 228-1220 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 10, 2025, Feb 19, 2025 (2 updates tracked since 2025).

About Miranda Standberry-wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRANDA STANDBERRY-WALLACE (NPI 1073319380) is an individual case manager/care coordinator provider in South Holland, Illinois and active in the NPI registry since February 2025. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1073319380
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMIRANDA STANDBERRY-WALLACE
Location Address538 W SIBLEY BLVDSouth Holland, IL 60473-1095
Mailing Address538 W Sibley BlvdSouth Holland, IL 60473-1095
Phone(708) 228-1220
Sole ProprietorNo
Enumeration DateFebruary 19, 2025
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1073319380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
538 W SIBLEY BLVD, South Holland, IL 60473
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Secondary Practice Location 1

Location 11240 W 103rd StChicago, IL 60643-2361 · Phone (708) 228-1220

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HERMAN L STANDBERRY
Counselor
538 W SIBLEY BLVD
SOUTH HOLLAND, IL 60473
Cook County (708) 270-1696
MIRIAM STANDBERRY-SANDERS
Case Manager/Care Coordinator
538 W SIBLEY BLVD
SOUTH HOLLAND, IL 60473
Cook County (708) 392-3415

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 Miranda Standberry-wallace's NPI number?

The NPI number for Miranda Standberry-wallace is 1073319380. It was assigned to this individual provider in the NPPES registry on February 19, 2025.

Where is Miranda Standberry-wallace located?

Miranda Standberry-wallace practices at 538 W Sibley Blvd, South Holland, IL 60473. The listed phone number is (708) 228-1220.

What is Miranda Standberry-wallace's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Miranda Standberry-wallace was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.