Individual provider · Type 1 NPI

Gabriel Abraham Wallace, MD

Vascular Surgery Physician · Palos Heights, IL

NPI number 1609142074 Active

Practice location

12251 S 80th Ave Ste 1520
Palos Heights, IL 60463-1290

Call (708) 923-4200 Map

Fax (708) 923-4201

Mailing address

PO Box 84992
Chicago, IL 60689-4992

Other practice locations

  • 1959 NE Pacific St, Seattle, WA 98195-6410 · (206) 543-3687
  • 10258 Southwest Hwy Ste A, Chicago Ridge, IL 60415-1361 · (708) 346-9533

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X036142476 (IL)
Vascular Surgery Physician Primary 2086S0129X036142476 (IL)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

31 other providers at this address

About NPI 1609142074

Gabriel Abraham Wallace, MD's National Provider Identifier is 1609142074, issued on Mar 29, 2012. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Palos Heights, IL. The record was last updated on Aug 31, 2023.