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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DONALD W WALLACE

Active Sole Proprietor

DONALD W WALLACE is a Hearing Instrument Specialist healthcare provider located in DECATUR, Illinois. NPI 1467888537 is currently active in the NPPES registry. Verify at CMS.

Hearing Instrument Specialist · DECATUR, IL

Registration Details

NPI Number
1467888537
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2013 (12.710056081676 yrs)
Last Updated
Jul 22, 2021
Licenses
2013004501 (MO)
3320 (IL)
Sole Proprietor
Yes

Practice Information

Address
3003 PERSHING CT STE 101
DECATUR, IL, 625266323
Browse IL providers · Browse ZIP 62526
Phone
2173309654
Primary Specialty
Hearing Instrument Specialist
237700000X
Additional Specialty
Hearing Instrument Specialist

Other Hearing Instrument Specialist Providers in DECATUR, IL

Name Credential NPI
MR. THOMAS SMITH HIS 1144374752
MR. ERIC SMITH HIS 1154476224
DOUGLAS S HAWS H.I.S. 1538350491
PAMELA WILSON 1104256403
MR. BRIAN LEE HASSINGER HIS 1497169973
AMY RICHARDS H.I.S. 1801200738
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.