Provider Demographics
NPI:1639317902
Name:WALLS, FRANCES A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:A
Last Name:WALLS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:FRANCES
Other - Middle Name:
Other - Last Name:ROSENSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:446 E ONTARIO ST
Mailing Address - Street 2:6-200
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4418
Mailing Address - Country:US
Mailing Address - Phone:312-802-7907
Mailing Address - Fax:312-926-7960
Practice Address - Street 1:446 E ONTARIO ST
Practice Address - Street 2:6-200
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4418
Practice Address - Country:US
Practice Address - Phone:312-802-7907
Practice Address - Fax:312-926-7960
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007407103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical