James Wallace, PA-C

NPI 1053539783 · on the registry since 2007

Practice

Address: 101 W University Ave
Spine And Pain Management
Champaign, IL 61820
Phone: (217) 366-8796
Fax: (217) 366-6106
Organisation at this address: Walgreen Co
Christie Clinic, Pllc
Christie Clinic Pathology Llc
Christie Pharmacy Champaign Llc
Christie Clinic Amblatory Surgery Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 124

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois