Donald R. Wallace M.D.

  • NPI 1700899788
According to our database, the NPI number for Donald R. Wallace M.D. is 1700899788 and activated since 17 years ago. Donald R. Wallace M.D. is an individual provider who specializes in Emergency Medicine, and the primary practice location is 5114 N Glen Park Place Rd, Peoria, IL 61614. You can also contact Donald R. Wallace M.D. via telephone number is (309) 683-6600. Provider NPI information was last updated on 07/29/2010.

Recently Active NPIs

Overview of Donald R. Wallace M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/14/2006
  • Last updated: 07/29/2010

Primary Scrop of Practice

  • Taxonomy Code: 207P00000X
  • Specialty: Emergency Medicine
  • License Number: 036-077680
  • License State: IL

Provider Mailing Address

  • Address: 5114 N Glen Park Place Rd
    Peoria, IL 61614
  • Phone: 309-683-6600
  • Fax:

Provider Practice Location

  • Address: 5114 N Glen Park Place Rd
    Peoria, IL 61614
  • Phone: 309-683-6600
  • Fax:

Scope of Practice

  • Taxonomy Code: 207P00000X
  • Specialty: Emergency Medicine
  • License Number: 036-077680
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 036077680
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Donald R. Wallace M.D.?
  • A: The npi number for Donald R. Wallace M.D. is 1700899788.
  • Q: What are Donald R. Wallace M.D.'s specialties?
  • A: Donald R. Wallace M.D.'s specialties are Emergency Medicine and different specialities.
  • Q: What is the medical license for Donald R. Wallace M.D.?
  • A: The medical license number for Donald R. Wallace M.D. is 036-077680 and issued in IL in USA.
  • Q: Where is Donald R. Wallace M.D. practice location?
  • A: Donald R. Wallace M.D. is practicing at 5114 N Glen Park Place Rd, Peoria, IL 61614.
  • Q: How to contact Donald R. Wallace M.D.?
  • A: You can contact Donald R. Wallace M.D. via 309-683-6600.