Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WALLACE L VINSON, RSA
ActiveMR. WALLACE L VINSON, RSA is a Specialist healthcare provider located in BOLINGBROOK, Illinois. NPI 1235360959 is currently active in the NPPES registry. Verify at CMS.
Specialist · BOLINGBROOK, IL
Registration Details
- NPI Number
- 1235360959
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2009 (16.900524254803 yrs)
- Last Updated
- Oct 6, 2023
- License
-
238000232 (IL)
Practice Information
- Address
-
260 S SCHMIDT RD STE GBOLINGBROOK, IL, 604403087Browse IL providers · Browse ZIP 60440
- Phone
- 6307547760
- Fax
- 6307547761
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Medical Laboratory Technician
Other Specialist Providers in BOLINGBROOK, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MOHAMMED MURTAZA ARAIN | M.D. | 1992781108 |
| CRYSTAL LAWSON | CSA | 1851410559 |
| PAMELA HEADY | MT | 1407027360 |
| STACEY BETHUNE | MS, ATC | 1063823706 |
| JESSIE HANSEN | — | 1992179972 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.