Wallace, David B.

Wallace, David B. is an individual health care provider with primary practice located at 325 N Highland Ave Provena Mercy Medical Center, Aurora IL 60506-3811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wallace, David B. can be contacted via phone (630) 859-2222.

Contact Information

Primary practice address
325 N Highland Ave Provena Mercy Medical Center Aurora IL 60506-3811
Phone: (630) 859-2222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036050183 Illinois

Profile Details

NPI number 1295736809
LBN Legal business name Wallace, David B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated May 13th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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