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Search › Illinois › Diagnostic Radiology Physician

David Wallace, M.D

NPI 1295736809 · on the registry since 2005

Practice

Address
325 N Highland Ave
Provena Mercy Medical Center
Aurora, IL 60506
Phone
(630) 859-2222

Registry record

Primary taxonomy
Diagnostic Radiology Physician
2085R0202X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-05-13

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