Harry Wallace, D.C

NPI 1578523734 · on the registry since 2006

Practice

Address: 2001 52nd Ave
Suite 1
Moline, IL 61265
Phone: (309) 764-4901
Organisation at this address: Michael H Hurst
Palmer College Foundation
Neck To Back Quad Cities Llc
Centerwell Certified Healthcare Corp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-03-18

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