DR. ADAM WALLACE, MD

Radiology - Neuroradiology

Active Individual
NPI: 1801117585

Practice Address

8201 EAST RIVERSIDE BOULEVARD
MERCY HEALTH JAVON BAE HOSPITAL
Rockford, IL 61114

Phone: (815) 971-5000

Specialties

Specialty Code Primary License
Radiology - Neuroradiology 2085N0700X Yes 036.148822 (IL)
Radiology - Diagnostic Radiology 2085R0202X No 036.148822 (IL)
Psychiatry & Neurology - Neurology 2084N0400X No 70505 (WI)

Frequently Asked Questions

NPI 1801117585 is the National Provider Identifier for DR. ADAM WALLACE, MD, a Radiology - Neuroradiology provider located in Rockford, IL. This NPI was enumerated on June 17, 2010.
DR. ADAM WALLACE, MD practices at 8201 EAST RIVERSIDE BOULEVARD, MERCY HEALTH JAVON BAE HOSPITAL, Rockford, IL 61114.

Quick Facts

NPI
1801117585
Type
Individual
Enumerated
Jun 17, 2010
Last Updated
Dec 15, 2023

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