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WALLACE SPRUGEON COLVIN IV MA
NPI 1699490284
Counselor - Professional in Chicago, IL

Active since October 06, 2022
2755 N PINE GROVE AVE, CHICAGO, IL 60614(312) 259-2665 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wallace Sprugeon Colvin Iv Ma NPPES

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

WALLACE SPRUGEON COLVIN IV MA (NPI 1699490284) is an individual professional provider in Chicago, Illinois and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1699490284
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameWALLACE SPRUGEON COLVIN IVCredential: MA
Location Address2755 N PINE GROVE AVEChicago, IL 60614-6109
Mailing Address500 E 33rd St Apt 810Chicago, IL 60616-4239
Phone(312) 259-2665
Sole ProprietorYes
Enumeration DateOctober 6, 2022
NPPES CertifiedOctober 6, 2022
✔ NPI 1699490284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2755 N PINE GROVE AVE, Chicago, IL 60614
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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.

MOROTE ARIZA AND ASSOCIATES CORPORATION
Psychologist
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Cook County (773) 620-4491
KATHRYN ANNE URRUTIA
Marriage & Family Therapist
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Cook County (312) 259-2665
KYLE TACIA LPC
Counselor (Professional)
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Cook County (312) 259-2665
ABIGAIL CHRISTINE CUTER
Counselor (Mental Health)
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Cook County (312) 259-2665
DAWN HARRIS
Counselor
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Cook County (312) 259-2665
VIRGINIA HOGUE-DENIS LCPC
Counselor (Mental Health)
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Cook County (312) 259-2665
GRACE HILTY M.S. EDU
Counselor (Mental Health)
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Cook County (312) 259-2665
LINCOLN PARK THERAPY GROUP
Marriage & Family Therapist
2755 N PINE GROVE AVE
CHICAGO, IL 60614
Cook County (312) 259-2665

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 Wallace Colvin's NPI number?

The NPI number for Wallace Colvin is 1699490284. It was assigned to this individual provider in the NPPES registry on October 6, 2022.

Where is Wallace Colvin located?

Wallace Colvin practices at 2755 N Pine Grove Ave, Chicago, IL 60614. The listed phone number is (312) 259-2665.

What is Wallace Colvin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Wallace Colvin was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.