Jessica Wall's National Provider Identifier (NPI) Details
Jessica Wall, A.M., LCSW
NPI: 1508910308
Enumeration Date: 2007-01-22
Last updated: 2007-07-08
Sole Proprietor: YES
Status: active
Postal Address: 803A N HARLEM AVE, SUITE 2N, OAK PARK, IL
Phone: 708-383-5940
Primary Practice Address: 803A N HARLEM AVE, SUITE 2N, OAK PARK, IL
Practice's phone: 708-383-5940