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NPI · 1295736809 · NPPES-sourced

David Wallace M.D.

ActiveDiagnostic Radiology
NPI Number
1295736809
Type 1 · Individual
Taxonomy Code
2085R0202X
Contact
(630) 859-2222
License IL · 036050183
Last Updated
About 18 years ago (May 2008)
Enumerated 2005-08-04
Primary practice addressIL · 60506-3811
325 N Highland Ave, Provena Mercy Medical CenterAurora, IL 60506-3811
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About this NPIWhat this record shows.

NPI 1295736809 is registered to David Wallace M.D., a Diagnostic Radiology practising at 325 N Highland Ave, Provena Mercy Medical Center in Aurora, Illinois. Diagnostic Radiology uses medical imaging (X-ray, CT, MRI, ultrasound, and nuclear medicine) to diagnose disease and injury. David Wallace M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2005-08-04
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans David Wallace M.D. accepts. To confirm in-network status with your specific health plan, contact David Wallace M.D. directly at (630) 859-2222.

Frequently asked

Yes. NPI 1295736809 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Diagnostic Radiology uses medical imaging (X-ray, CT, MRI, ultrasound, and nuclear medicine) to diagnose disease and injury.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (630) 859-2222.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. David Wallace M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy2085R0202X
Last updated2008-05
Enumerated2005-08-04
StatusActive
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