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Dr. Adam N Wallace, MD
Neurology Physician in Rockford, Illinois
NPI 1801117585

Adam N Wallace is a Neurology Physician based in Milwaukee, IL and is specialized in Neurology. Adam N Wallace practices in Rockford, IL and has the professional credentials of MD. The NPI Number for Adam N Wallace is 1801117585 and holds a License No. 70505-20 (Illinois).

The current practice location address for Adam N Wallace is 8201 East Riverside Boulevard, Rockford, IL and can be reached out via phone at 815-971-5000.

Location: 8201 East Riverside Boulevard, Rockford, IL, 53211-4508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801117585
Provider Name
Adam N Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8201 East Riverside Boulevard, Rockford, IL, 53211-4508
Phone Number
815-971-5000
Fax Number
Provider Enumeration Date
06/17/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200021565 05 MO
institution
Provider Business Practice Location Address Details
Address
8201 East Riverside Boulevard
City
Rockford
State
Illinois
Zip
61114-2300
Phone Number
815-971-5000
Fax Number
person
Provider Business Mailing Address Details
Address
8201 East Riverside Boulevard
City
Rockford
State
Illinois
Zip
61114-2300
Phone Number
815-971-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
DR.0068906 (Colorado)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
61898 (Minnesota)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
70505-20 (Wisconsin)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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