Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN WALLACE, M.D.
ActiveDR. JONATHAN WALLACE, M.D. is a General Surgery healthcare provider located in HOFFMAN ESTATES, Illinois. NPI 1568422012 is currently active in the NPPES registry. Verify at CMS.
General Surgery · HOFFMAN ESTATES, IL
Registration Details
- NPI Number
- 1568422012
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2006 (20.367248924895 yrs)
- Last Updated
- Mar 19, 2021
- Licenses
-
036108563 (IL)036108563 (IL)
Practice Information
- Address
-
4885 HOFFMAN BLVDSUITE 400HOFFMAN ESTATES, IL, 601923726Browse IL providers · Browse ZIP 60192
- Phone
- 8472559697
- Fax
- 8472559697
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
Other General Surgery Providers in HOFFMAN ESTATES, IL
| Name | Credential | NPI |
|---|---|---|
| ALLEN E SAXON | M.D. | 1730172172 |
| DR. MICHAEL FENTRISS WILSON | M.D. | 1083600027 |
| DR. STOYAN KOKOCHAROV | M.D. | 1699715441 |
| DR. STEPHEN TAD GRABOWSKI | MD | 1326129925 |
| FRANK K. LIAO | M.D. | 1912032988 |
| DR. HELEN NIKOLAEVNA KLEMINE | MD | 1487048922 |
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.