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Search › Illinois › 2085N0700X

Adam Wallace, MD

NPI 1801117585 · on the registry since 2010

Practice

Address
8201 E Riverside Blvd
Rockford, IL 61114
Phone
(815) 971-5000
Organisation at this address
Javon Bea Hospital
Javon Bea Hospital
Javon Bea Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
156

Additional practice sites

  • 2301 N Lake Dr Ste 1104, Milwaukee, WI
  • 7505 Metro Blvd Ste 400, Edina, MN
  • 2845 Greenbrier Rd, Green Bay, WI

Registry record

Primary taxonomy
2085N0700X
2085N0700X
Also registered as
2084N0400X
2085R0202X
2085N0700X
2085R0202X
2085N0700X
2085R0202X
2084N0400X
2085R0202X
2085R0202X
Licence states on file
IL, NY, WI, CO, MN, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-22

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