Benjamin Nishan Wall

Clinical Social Worker · Waukegan, IL

Individual Active NPI

NPI number 1669200093

Practice location

415 Washington St Ste 200
Waukegan, IL 60085-5564
Phone
(847) 441-5600

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NPI record

NPI
1669200093
Entity type
Individual (Type 1)
Enumeration date
July 25, 2024
Last updated
July 25, 2024
Certified
July 25, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X — —

Mailing address

3657 N Whipple St Apt 1f
Chicago, IL 60618-4519
Phone
(559) 799-1139

About Benjamin Wall

Benjamin Nishan Wall is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 415 Washington St Ste 200, Waukegan, IL 60085-5564. The NPI number 1669200093 was assigned on July 25, 2024 and the record was last updated on July 25, 2024.

Frequently asked questions

What is the NPI number of Benjamin Nishan Wall?

The NPI number is 1669200093.

What is the phone number of Benjamin Wall?

The phone number listed for the practice location is (847) 441-5600.

Where is Benjamin Wall located?

415 Washington St Ste 200, Waukegan, IL 60085-5564.

What is the taxonomy code for Benjamin Wall?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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