Individual provider · Type 1 NPI

James Edward Wallace Jr., PA-C

Physician Assistant · Champaign, IL

NPI number 1053539783 Active

Practice location

101 W University Ave, Spine And Pain Management
Champaign, IL 61820-3909

Call (217) 366-8796 Map

Fax (217) 366-6106

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X85000087 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1053539783

James Edward Wallace Jr., PA-C's National Provider Identifier is 1053539783, issued on Apr 20, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Champaign, IL. The record was last updated on Sep 24, 2013.