person
David Wallace, MD
Cardiovascular Disease Physician in Belleville, Illinois
NPI 1609804525

David Wallace is a Cardiovascular Disease Physician based in Belleville, IL and is specialized in Cardiovascular Disease. David Wallace practices in Belleville, IL and has the professional credentials of MD. The NPI Number for David Wallace is 1609804525 and holds a License No. 036092919 (Illinois).

The current practice location address for David Wallace is 340 W Lincoln St, Belleville, IL and can be reached out via phone at 618-233-6044 and via fax at 618-233-3287.

Location: 340 W Lincoln St, Belleville, IL, 62220-1900
person
Provider Profile Details
NPI Number
1609804525
Provider Name
David Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
340 W Lincoln St, Belleville, IL, 62220-1900
Phone Number
618-233-6044
Fax Number
618-233-3287
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0360929191 05 IL
107076 01 MO BCBS MO
2501200 01 SECURE HORIZONS
37099690008 01 GHP
E43629 01 MERCY
12269 01 ESSENCE
060046618 01 RR MEDICARE
1734162 01 UHC
205943608 05 MO
235649 01 HEALTHLINK
235649 01 WELLCARE
093355 01 HEALTH ALLIANCE
54656 01 CMR
P01024928 01 IL RAILROAD
institution
Provider Business Practice Location Address Details
Address
340 W Lincoln St
City
State
Zip
62220-1900
Phone Number
618-233-6044
Fax Number
618-233-3287
person
Provider Business Mailing Address Details
Address
340 W Lincoln St
City
State
Zip
62220-1900
Phone Number
618-233-6044
Fax Number
618-233-3287
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
036092919 (Illinois)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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