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Dr. Stephen E. Wallace, MD
Pediatrics Physician in Springfield, Illinois
NPI 1548360134

Stephen E. Wallace is a Pediatrics Physician based in Springfield, IL. Stephen E. Wallace practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Stephen E. Wallace is 1548360134 and holds a License No. 036-055346 (Illinois).

The current practice location address for Stephen E. Wallace is 2532 Farragut Dr, Springfield, IL and can be reached out via phone at 217-787-9424.

Location: 2532 Farragut Dr, Springfield, IL, 62703-2403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548360134
Provider Name
Stephen E. Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2532 Farragut Dr, Springfield, IL, 62703-2403
Phone Number
217-787-9424
Fax Number
Provider Enumeration Date
09/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036055346 05 IL
institution
Provider Business Practice Location Address Details
Address
2532 Farragut Dr
City
Springfield
State
Illinois
Zip
62704-1433
Phone Number
217-787-9424
Fax Number
person
Provider Business Mailing Address Details
Address
2532 Farragut Dr
City
Springfield
State
Illinois
Zip
62704-1433
Phone Number
217-787-9424
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
036-055346 (Illinois)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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