Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ADAM N WALLACE, MD
ActiveDR. ADAM N WALLACE, MD is a Neuroradiology healthcare provider located in ROCKFORD, Illinois. NPI 1801117585 is currently active in the NPPES registry. Verify at CMS.
Neuroradiology · ROCKFORD, IL
Registration Details
- NPI Number
- 1801117585
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2010 (16.16014447435 yrs)
- Last Updated
- Dec 15, 2023
- Licenses
-
70505-20 (WI)61898 (MN)DR.0068906 (CO)2015013114 (MO)319983 (NY)
Practice Information
- Address
-
8201 EAST RIVERSIDE BOULEVARDMERCY HEALTH JAVON BAE HOSPITALROCKFORD, IL, 611142300Browse IL providers · Browse ZIP 61114
- Phone
- 8159715000
- Primary Specialty
-
Neuroradiology
2085N0700X
- Additional Specialty
- Neuroradiology
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
Other Neuroradiology Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ALIX VINCENT | MD | 1003802265 |
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.