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LAWANDA WALLACE
NPI 1154788875
Private Vehicle in Chicago, IL

Active since January 26, 2016
11559 S OAKLEY AVE, CHICAGO, IL 60643(773) 391-6689 Get Directions Write a Review

NPPES record last updated: January 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lawanda Wallace NPPES

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

LAWANDA WALLACE (NPI 1154788875) is an individual private vehicle provider in Chicago, Illinois, licensed in Illinois (W42053371706) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1154788875
Entity TypeIndividualFemale
Primary Taxonomy347C00000X
Provider Legal NameLAWANDA WALLACE
Location Address11559 S OAKLEY AVEChicago, IL 60643-4721
Mailing Address11559 S Oakley AveChicago, IL 60643-4721 · (773) 391-6689
Phone(773) 391-6689
Sole ProprietorYes
Enumeration DateJanuary 26, 2016
✔ NPI 1154788875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrivate VehicleTransportation Services
Taxonomy Code347C00000X
License✔ Licensed in IL · W42053371706
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
11559 S OAKLEY AVE, Chicago, IL 60643
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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 Lawanda Wallace's NPI number?

The NPI number for Lawanda Wallace is 1154788875. It was assigned to this individual provider in the NPPES registry on January 26, 2016.

Where is Lawanda Wallace located?

Lawanda Wallace practices at 11559 S Oakley Ave, Chicago, IL 60643. The listed phone number is (773) 391-6689.

What is Lawanda Wallace's specialty?

The primary specialty registered for this NPI is Private Vehicle with taxonomy code 347C00000X.

When was this NPI record last updated?

The NPPES record for Lawanda Wallace was last updated on January 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.