“Neuroradiology Physician” (Rockford, IL)
Location: Rockford, IL
Taxonomy: Neuroradiology Physician.
A provider can have more than one taxonomy code. It is critical to register all applicable
taxonomy codes with NPPES and to use the correct taxonomy code to represent the
specific specialty when filing claims. This will assist in more accurate and timely
processing of claims.
1801117585
—
DR.
ADAM
N
WALLACE
MD
Practice Location Address:
8201 EAST RIVERSIDE BOULEVARD
MERCY HEALTH JAVON BAE HOSPITAL
ROCKFORD IL
61114-2300
Practice Phone:
815-971-5000