DR. Jonathan Wallace, M.D.
NPI #1568422012 in Hoffman Estates, Illinois
Provider Information
- NPI Number
- 1568422012
- Entity Type
- Individual
- Name
- DR. Jonathan Wallace, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Surgery
- Credential
- M.D.
- Enumeration Date
- Mar 27, 2006
- Last Updated
- Mar 19, 2021
Practice Location
- Address
- 4885 HOFFMAN BLVD
- Address 2
- SUITE 400
- City
- Hoffman Estates
- State
- Illinois
- ZIP Code
- 60192-3726
- Phone
- (847) 255-9697
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Surgery |
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