Dr. Adam N Wallace is a Rockford, Illinois based neurologist with 14 years of experience in Neurology. He completed his graduation in 2010. He is also affiliated with hospitals like and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Adam N Wallace is 036.148822 in Illinois. His current practice location is 8201 East Riverside Boulevard, Mercy Health Javon Bae Hospital, Rockford. Patients can reach him at 815-971-5000. Dr. Adam N Wallace is MD in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1801117585. Dr. Adam N Wallace 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.
Complete Profile:
Dr. Adam N Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Adam N Wallace
Specialization:
Neurology
Gender:
Male
Credentials:
MD
Experience:
14+ years
Medical School Attended:
Other
Graduation Year:
2010
Accepts Medicare Assignment:
Yes
Practice Address:
8201 East Riverside Boulevard, Mercy Health Javon Bae Hospital, Rockford, Illinois, 61114-2300
Phone:
815-971-5000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4486883014
Enrollment ID:
I20190509000180
NPI Number:
1801117585
NPI Enumeration Date:
17 Jun, 2010
NPI Last Update On:
15 Dec, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Adam N Wallace are as mentioned below.
License Number
Specialization
State
Status
036.148822
Illinois
Primary
70505-20
Radiology
Wisconsin
Secondary
61898
Radiology
Minnesota
Secondary
DR.0068906
Radiology
Colorado
Secondary
2015013114
Radiology
Missouri
Secondary
319983
Radiology
New York
Secondary
036.148822
Radiology
Illinois
Secondary
70505
Neurology
Wisconsin
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(520051)
Milwaukee, WI
Acute Care Hospital
(060031)
Colorado springs, CO
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Adam N Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Columbia St Marys Hospital Milwaukee Inc (5890604722)
307
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Adam N Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200021565
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Adam N Wallace 2301 N Lake Dr Ste 1104, Milwaukee, Wisconsin
Zip:
53211-4508
Phone Number:
414-585-3223
Fax Number:
414-585-3229
Patients can reach Dr. Adam N Wallace at 8201 East Riverside Boulevard, Mercy Health Javon Bae Hospital, Rockford, Illinois or can call to book an appointment on 815-971-5000.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.