Dr. Adam N Wallace
MD | Neurology | 15+ years Exp
8201 East Riverside Boulevard, Mercy Health Javon Bae Hospital, Rockford
Illinois, 61114-2300
815-971-5000 Maps & DirectionsDr. Adam N Wallace is a Rockford, Illinois based neurologist with 15 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: | 15+ 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.