DR. Kevin R Wallace DMD

  • NPI 1053423285
According to our database, the NPI number for DR. Kevin R Wallace DMD is 1053423285 and activated since 17 years ago. DR. Kevin R Wallace DMD is an individual provider who specializes in Dentist, and the primary practice location is 150 E Huron St, Chicago, IL 60611. You can also contact DR. Kevin R Wallace DMD via telephone number is (312) 676-9893. Provider NPI information was last updated on 01/19/2021.

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Overview of DR. Kevin R Wallace DMD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/01/2006
  • Last updated: 01/19/2021

Primary Scrop of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 019-022339
  • License State: IL

Provider Mailing Address

  • Address: 14831 W 159th St Ste 1
    Lockport, IL 60491
  • Phone: 630-324-5369
  • Fax: 815-744-7059

Provider Practice Location

  • Address: 150 E Huron St
    Ste 1103
    Chicago, IL 60611
  • Phone: 312-676-9893
  • Fax: 815-744-7059

Scope of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 019022339
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 019-022339
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: DENTAL-IL

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 DR. Kevin R Wallace DMD?
  • A: The npi number for DR. Kevin R Wallace DMD is 1053423285.
  • Q: What are DR. Kevin R Wallace DMD's specialties?
  • A: DR. Kevin R Wallace DMD's specialties are Dentist and different specialities.
  • Q: What is the medical license for DR. Kevin R Wallace DMD?
  • A: The medical license number for DR. Kevin R Wallace DMD is 019-022339 and issued in IL in USA.
  • Q: Where is DR. Kevin R Wallace DMD practice location?
  • A: DR. Kevin R Wallace DMD is practicing at 150 E Huron St, Chicago, IL 60611.
  • Q: How to contact DR. Kevin R Wallace DMD?
  • A: You can contact DR. Kevin R Wallace DMD via 312-676-9893.