Lance T Wallace M.D.

  • NPI 1538100128
According to our database, the NPI number for Lance T Wallace M.D. is 1538100128 and activated since 17 years ago. Lance T Wallace M.D. is an individual provider who specializes in Internal Medicine, and the primary practice location is 20939 S Cicero Ave, Matteson, IL 60443. You can also contact Lance T Wallace M.D. via telephone number is (708) 709-9375. Provider NPI information was last updated on 03/15/2021.

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Overview of Lance T Wallace M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/08/2006
  • Last updated: 03/15/2021

Primary Scrop of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 036085478
  • License State: IL

Provider Mailing Address

  • Address: 35318 Eagle Way
    Chicago, IL 60678
  • Phone: 317-865-8988
  • Fax: 317-859-8590

Provider Practice Location

  • Address: 20939 S Cicero Ave
    Matteson, IL 60443
  • Phone: 708-709-9375
  • Fax: 708-709-6353

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 036085478
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 036085478
  • 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 Lance T Wallace M.D.?
  • A: The npi number for Lance T Wallace M.D. is 1538100128.
  • Q: What are Lance T Wallace M.D.'s specialties?
  • A: Lance T Wallace M.D.'s specialties are Internal Medicine and different specialities.
  • Q: What is the medical license for Lance T Wallace M.D.?
  • A: The medical license number for Lance T Wallace M.D. is 036085478 and issued in IL in USA.
  • Q: Where is Lance T Wallace M.D. practice location?
  • A: Lance T Wallace M.D. is practicing at 20939 S Cicero Ave, Matteson, IL 60443.
  • Q: How to contact Lance T Wallace M.D.?
  • A: You can contact Lance T Wallace M.D. via 708-709-9375.