Wallace Vinson, RSA

NPI 1235360959 · on the registry since 2009

Practice

Address: 260 S Schmidt Rd Ste G
Bolingbrook, IL 60440
Phone: (630) 754-7760
Fax: (630) 754-7761
Organisation at this address: Elevated Care At Home Llc
Epic Surgical Solutions Llc
Elevated Care Home Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 174400000X
174400000X
Also registered as: 246ZS0410X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-10-06

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