MR. WALLACE VINSON, RSA

Specialist

Active Individual
NPI: 1235360959

Practice Address

260 S SCHMIDT RD STE G
Bolingbrook, IL 60440

Phone: (630) 754-7760

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 238000232 (IL)
Specialist/Technologist, Other - Surgical Technologist 246ZS0410X No -

Frequently Asked Questions

NPI 1235360959 is the National Provider Identifier for MR. WALLACE VINSON, RSA, a Specialist provider located in Bolingbrook, IL. This NPI was enumerated on July 29, 2009.
MR. WALLACE VINSON, RSA practices at 260 S SCHMIDT RD STE G, Bolingbrook, IL 60440.

Quick Facts

NPI
1235360959
Type
Individual
Enumerated
Jul 29, 2009
Last Updated
Oct 6, 2023

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