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MR. KEITH V. WALLACE L.C.S.W.
NPI 1104971712
Social Worker in Chicago, IL

Active since January 24, 2007
CHILDREN'S MEMORIAL HOSPITAL, 2300 CHILDREN'S PLAZA, BOX 10, CHICAGO, IL 60614(773) 975-8604 Get Directions Write a Review

NPPES record last updated: October 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Keith V. Wallace L.c.s.w. NPPES

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

MR. KEITH V. WALLACE L.C.S.W. (NPI 1104971712) is an individual social worker in Chicago, Illinois, licensed in Illinois (149-012034) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1104971712
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. KEITH V. WALLACECredential: L.C.S.W.
Location AddressCHILDREN'S MEMORIAL HOSPITAL, 2300 CHILDREN'S PLAZA, BOX 10Chicago, IL 60614
Mailing AddressChildren's Memorial Hospital, 2300 Children's Plaza, Box 10Chicago, IL 60614 · (773) 975-8604
Phone(773) 975-8604
Sole ProprietorYes
Enumeration DateJanuary 24, 2007
Last NPPES UpdateOctober 27, 2008
✔ NPI 1104971712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 149-012034
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
CHILDREN'S MEMORIAL HOSPITAL, Chicago, IL 60614
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Other Providers at the Same Location NPPES 9

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

MS. COURTNEY BLEDSOE L.C.S.W.
Social Worker
CHILDREN'S MEMORIAL HOSPITAL, 2300 CHILDREN'S PLAZA, BOX 10
CHICAGO, IL 60614
Cook County (773) 880-4800
DR. JEANNE ELIZABETH ANTISDEL PH.D.
Psychologist (Clinical)
CHILDREN'S MEMORIAL HOSPITAL, 2300 CHILDREN'S PLAZA, BOX 10
CHICAGO, IL 60614
Cook County (773) 880-4800
DR. JILL WEISSBERG-BENCHELL PH.D.
Psychologist (Clinical)
CHILDREN'S MEMORIAL HOSPITAL, 2300 CHILDREN'S PLAZA, BOX 10
CHICAGO, IL 60614
Cook County (773) 880-4800
DR. RICHARD A AREND PH.D.
Psychologist
CHILDREN'S MEMORIAL HOSPITAL, 2300 CHILDREN'S PLAZA, BOX 10
CHICAGO, IL 60614
Cook County (773) 880-4800
MS. ALISON WEISS L.C.S.W.
Social Worker
CHILDREN'S MEMORIAL HOSPITAL, 2300 CHILDREN'S PLAZA, BOX 10
CHICAGO, IL 60614
Cook County (773) 880-4800
DIANE HOLDEN BRYANT M.S.
Audiologist
CHILDREN'S MEMORIAL HOSPITAL, 2300 CHILDREN'S PLAZA #38
CHICAGO, IL 60614
Cook County (773) 880-4530
DR. JOHN V LAVIGNE PH.D.
Psychologist
CHILDREN'S MEMORIAL HOSPITAL, 2300 CHILDRENS PLAZA, BOX 10
CHICAGO, IL 60614
Cook County (773) 880-4800
DR. KAREN R GOUZE PH.D.
Psychologist
CHILDREN'S MEMORIAL HOSPITAL, 2300 CHILDREN'S PLAZA, BOX 10
CHICAGO, IL 60614
Cook County (773) 880-4800

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 Keith Wallace's NPI number?

The NPI number for Keith Wallace is 1104971712. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Keith Wallace located?

Keith Wallace practices at Children's Memorial Hospital 2300 Children's Plaza, Box 10, Chicago, IL 60614. The listed phone number is (773) 975-8604.

What is Keith Wallace's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Keith Wallace was last updated on October 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.