Individual provider · Type 1 NPI

Adam N. Wallace, MD

Neuroradiology Physician · Rockford, IL

NPI number 1801117585 Active

Practice location

8201 E Riverside Blvd
Rockford, IL 61114-2300

Call (815) 971-5000 Map

Mailing address

2301 N Lake Dr Ste 1104
Milwaukee, WI 53211-4508

Other practice locations

  • 2845 Greenbrier Rd, Green Bay, WI 54311-6519 · (920) 288-8044
  • 7505 Metro Blvd Ste 400, Edina, MN 55439 · (612) 573-2200
  • 2301 N Lake Dr Ste 1104, Milwaukee, WI 53211-4508 · (414) 215-9375

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician 2084N0400X036.148822 (IL)
Diagnostic Radiology Physician 2085R0202X319983 (NY)
Neuroradiology Physician 2085N0700X70505-20 (WI)
Diagnostic Radiology Physician 2085R0202XDR.0068906 (CO)
Neuroradiology Physician 2085N0700X61898 (MN)
Neuroradiology Physician Primary 2085N0700X036.148822 (IL)
Diagnostic Radiology Physician 2085R0202X036.148822 (IL)
Neurology Physician 2084N0400X70505-20 (WI)
Diagnostic Radiology Physician 2085R0202X70505-20 (WI)
Diagnostic Radiology Physician 2085R0202X2015013114 (MO)

Neuroradiology Physician: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

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About NPI 1801117585

Adam N. Wallace, MD's National Provider Identifier is 1801117585, issued on Jun 17, 2010. The primary taxonomy on file is Neuroradiology Physician (2085N0700X), and the practice location is in Rockford, IL. The record was last updated on Apr 22, 2026.