NICOLE WALLACE
NPI 1285507301
Pharmacy Technician in Chicago, IL

Active since September 25, 2025
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611(312) 926-2749(312) 694-6830 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Wallace NPPES

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

NICOLE WALLACE (NPI 1285507301) is an individual pharmacy technician in Chicago, Illinois, licensed in Illinois (049290929) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1285507301
Entity TypeIndividualFemale
Primary Taxonomy183700000X
Provider Legal NameNICOLE WALLACE
Location Address675 N SAINT CLAIR ST STE 19-100Chicago, IL 60611-5969
Mailing Address675 N Saint Clair St Ste 19-100Chicago, IL 60611-5969 · (312) 926-2749 · Fax (312) 694-6830
Fax(312) 694-6830
Sole ProprietorNo
Enumeration DateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
NPI 1285507301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy TechnicianPharmacy Service Providers
Taxonomy Code183700000X
License Licensed in IL · 049290929
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
675 N SAINT CLAIR ST STE 19-100, Chicago, IL 60611

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Interventional Cardiology)
675 N SAINT CLAIR ST STE 19-100
CHICAGO, IL 60611
Physician Assistant
675 N SAINT CLAIR ST STE 19-100
CHICAGO, IL 60611
Nurse Practitioner
675 N SAINT CLAIR ST STE 19-100
CHICAGO, IL 60611
Nurse Practitioner
675 N SAINT CLAIR ST STE 19-100
CHICAGO, IL 60611
Internal Medicine (Cardiovascular Disease)
675 N SAINT CLAIR ST STE 19-100
CHICAGO, IL 60611
Nurse Practitioner (Family)
675 N SAINT CLAIR ST STE 19-100
CHICAGO, IL 60611
Nurse Practitioner
675 N SAINT CLAIR ST STE 19-100
CHICAGO, IL 60611
Nurse Practitioner
675 N SAINT CLAIR ST STE 19-100
CHICAGO, IL 60611

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 Nicole Wallace's NPI number?

The NPI number for Nicole Wallace is 1285507301. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Where is Nicole Wallace located?

Nicole Wallace practices at 675 N Saint Clair St Ste 19-100, Chicago, IL 60611. The listed phone number is (312) 926-2749.

What is Nicole Wallace's specialty?

The primary specialty registered for this NPI is Pharmacy Technician with taxonomy code 183700000X.

When was this NPI record last updated?

The NPPES record for Nicole Wallace was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.