Jonathan Wallace in Hoffman Estates - Surgery
Jonathan Wallace - NPI 1568422012
Jonathan Wallace is a Surgery in Hoffman Estates, Illinois. Jonathan Wallace practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jonathan Wallace is 1568422012. The last update date is 2021-03-19.
Jonathan Wallace's current location address is 4885 Hoffman Blvd, Hoffman Estates, Illinois. You can contact this provider via phone number 8472559697 and fax number 8472559697. The mailing address for Jonathan Wallace is 4885 Hoffman Blvd, Hoffman Estates, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Wallace |
|---|---|
| Address | 4885 Hoffman Blvd, Hoffman Estates, Illinois |
| Phone Number | 8472559697 |
| Fax Number | 8472559697 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1568422012 |
|---|---|
| Provider Enumeration Date | 2006-03-27 |
| Last Updated Date | 2021-03-19 |
Provider Mailing Address Detail
| Address | 4885 Hoffman Blvd |
|---|---|
| City | Hoffman Estates |
| State | Illinois (IL) |
| Post Code | 601923726 |
| Phone Number | 8472559697 |
| Fax Number | 8472559697 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36108563 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36108563 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jonathan Wallace by the Centers for Medicare & Medicaid Services?
The Jonathan Wallace has been issued the NPI (National Provider Identifier) 1568422012. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jonathan Wallace is physically located?
The Jonathan Wallace is situated at the following address: 4885 Hoffman Blvd, Hoffman Estates, IL 601923726.
What is Jonathan Wallace's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jonathan Wallace's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568422012 to Jonathan Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1568422012 to Jonathan Wallace on 2006-03-27.
When was the information regarding Jonathan Wallace, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jonathan Wallace, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-03-19.
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