VINCENT WALLACE MA
NPI 1144852260
Clinic/Center - Rehabilitation, Substance Use Disorder in Chicago, IL

Active since February 06, 2020
226 W ONTARIO ST, CHICAGO, IL 60654(312) 912-7008(312) 533-2842 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vincent Wallace Ma NPPES

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

VINCENT WALLACE MA (NPI 1144852260) is an individual rehabilitation, substance use disorder provider in Chicago, Illinois and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1144852260
Entity TypeIndividualMale
Primary Taxonomy261QR0405X
Provider Legal NameVINCENT WALLACECredential: MA
Location Address226 W ONTARIO STChicago, IL 60654-3619
Mailing Address19050 Maple AveCountry Club Hills, IL 60478-5737 · (708) 612-3784
Fax(312) 533-2842
Sole ProprietorYes
Enumeration DateFebruary 6, 2020
NPI 1144852260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
226 W ONTARIO ST, Chicago, IL 60654

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.

Counselor
226 W ONTARIO ST
CHICAGO, IL 60654
Counselor (Mental Health)
226 W ONTARIO ST
CHICAGO, IL 60654

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 Vincent Wallace's NPI number?

The NPI number for Vincent Wallace is 1144852260. It was assigned to this individual provider in the NPPES registry on February 6, 2020.

Where is Vincent Wallace located?

Vincent Wallace practices at 226 W Ontario St, Chicago, IL 60654. The listed phone number is (312) 912-7008.

What is Vincent Wallace's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Vincent Wallace was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.