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Lance T Wallace, MD
Internal Medicine Physician in Matteson, Illinois
NPI 1538100128

Lance T Wallace is a Internal Medicine Physician based in Chicago, IL. Lance T Wallace practices in Matteson, IL and has the professional credentials of MD. The NPI Number for Lance T Wallace is 1538100128 and holds a License No. 036085478 (Illinois).

The current practice location address for Lance T Wallace is 20939 S Cicero Ave, Matteson, IL and can be reached out via phone at 708-709-9375 and via fax at 708-709-6353.

Location: 20939 S Cicero Ave, Matteson, IL, 60678-1353
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538100128
Provider Name
Lance T Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
20939 S Cicero Ave, Matteson, IL, 60678-1353
Phone Number
708-709-9375
Fax Number
708-709-6353
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IL5686032 01 IL MEDICARE PTAN
036085478 05 IL
institution
Provider Business Practice Location Address Details
Address
20939 S Cicero Ave
City
Matteson
State
Illinois
Zip
60443-1620
Phone Number
708-709-9375
Fax Number
708-709-6353
person
Provider Business Mailing Address Details
Address
20939 S Cicero Ave
City
Matteson
State
Illinois
Zip
60443-1620
Phone Number
708-709-9375
Fax Number
708-709-6353
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
036085478 (Illinois)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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