Individual provider · Type 1 NPI

David B. Wallace, MD

Diagnostic Radiology Physician · Aurora, IL

NPI number 1295736809 Active

Practice location

325 N Highland Ave, Provena Mercy Medical Center
Aurora, IL 60506-3811

Call (630) 859-2222 Map

Mailing address

520 E 22nd St
Lombard, IL 60148-6110

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X036050183 (IL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1295736809

David B. Wallace, MD's National Provider Identifier is 1295736809, issued on Aug 4, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Aurora, IL. The record was last updated on May 13, 2008.