NPI 1609497510

Sierra Waller

Practitioner Health Educator Oak Park, IL

Practice location

Address: 255 S Marion St, Oak Park, IL 60302-3103
Phone: (708) 383-5200
Mailing address: 18109 Juneway CT, Country Club Hills, IL 60478-5129

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X

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Registry record

NPI: 1609497510
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2020
Record last updated: 1 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.