TIFFANY CHANTAL WALLACE
NPI 1720991987
Developmental Therapist in Broadview, IL
About Tiffany Chantal Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY CHANTAL WALLACE (NPI 1720991987) is an individual developmental therapist in Broadview, Illinois and active in the NPI registry since September 2026.
NPPES Registry Identity
Specialties & Licenses
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 Tiffany Wallace's NPI number?
The NPI number for Tiffany Wallace is 1720991987. It was assigned to this individual provider in the NPPES registry on September 28, 2026.
Where is Tiffany Wallace located?
Tiffany Wallace practices at 2312 S 23rd Ave, Broadview, IL 60155. The listed phone number is (708) 299-3769.
What is Tiffany Wallace's specialty?
The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.
When was this NPI record last updated?
The NPPES record for Tiffany Wallace was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.