ROBERT J WALLACE (NPI# 1487991683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487991683 |
| Entity Type | Individual |
| Full Name | ROBERT J WALLACE |
| Credential | LAC, LMT |
| Practice Address |
1619 W Montrose Chicago Holistic Medicine Chicago IL 60613 |
| Mailing Address |
1619 W Montrose Chicago IL 60613 |
| Practice Telephone | 7732484489 |
| Mailing Telephone | 7732484489 |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 198000640 | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316430176 | Robert E Wallace | Case Manager/Care Coordinator | 283 Old Colliers Way, Weirton, WV 26062-4073 | 2018-06-07 |
| 1801337134 | Robert William Wallace II | Student in an Organized Health Care Education/Training Program | 204 N Silver Maple Dr, Slidell, LA 70458-5483 | 2017-03-20 |
| 1780015610 | Robert G. Wallace | Radiology | 1130 Goat Rock Road, Fortson, GA 31808 | 2013-12-03 |
| 1972947257 | Robert William Wallace | Registered Nurse | 40 Ridge Dr, West Hurley, NY 12491-5627 | 2013-04-17 |
| 1154582773 | Robert Lee Wallace | Counselor | 110 S Hancock St, Rockingham, NC 28379-3675 | 2008-06-17 |
| 1649484635 | Robert Jay Wallace | Obstetrics & Gynecology | 6250 Alfred Harrell Hwy, Bakersfield, CA 93308-9654 | 2007-05-09 |
| 1023132644 | Robert S Wallace | Chiropractor | 7 Centre Dr, Suite 10, Monroe, NJ 08831-1565 | 2007-03-19 |
| 1750443024 | Robert Wallace | Pharmacist | 12421 W Denton Ave, Litchfield Park, AZ 85340-3435 | 2006-12-14 |
| 1922113174 | Robert Vernon Wallace | Family Medicine | 400 Lee Blvd, Lehigh Acres, FL 33936-4923 | 2006-08-20 |
| 1134133200 | Robert Duncan Wallace | Psychiatry & Neurology | 2972 Devonshire Cir, Salt Lake City, UT 84108-2526 | 2006-07-27 |
| Street Address |
1619 W MONTROSE CHICAGO HOLISTIC MEDICINE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920759 | Burdock & Clove Wellness LLC | Acupuncturist | 2052 W Addison St # 2, Chicago, IL 60618-6126 | 2020-10-23 |
| 1548880735 | Anngela Leone | Acupuncturist | 2052 N Lincoln Park W Apt 803, Chicago, IL 60614-4703 | 2020-04-17 |
| 1114546587 | Willow & Elm Wellness | Acupuncturist | 2658 W Homer St, Chicago, IL 60647-4216 | 2020-04-15 |
| 1376179937 | Moon Rabbit Acupuncture & Eastern Medicine LLC | Acupuncturist | 1111 W Madison St Ste 2, Chicago, IL 60607-2055 | 2020-03-16 |
| 1710511167 | Calandra Acupuncture, Inc. | Acupuncturist | 47 W Polk St Ste M5, Chicago, IL 60605-2088 | 2020-02-25 |
| 1710526330 | Yin and Tonic, LLC | Acupuncturist | 4361 N Lincoln Ave # 5, Chicago, IL 60618-2186 | 2019-12-30 |
| 1033757927 | Shelbi Bailor | Acupuncturist | 5646 N Clark St, Chicago, IL 60660-4110 | 2019-12-11 |
| 1194368779 | Jeremy Paul Johnson | Acupuncturist | 1500 W Farwell Ave Apt 3, Chicago, IL 60626-3666 | 2019-10-25 |
| 1386286144 | Anais Karel Jackson-gonzalez | Acupuncturist | 2018 S. Michigan Ave., Chicago, IL 60616 | 2019-10-14 |
| 1285288191 | Nourish Acuclinic, Pllc | Acupuncturist | 2545 S Hillock Ave, Chicago, IL 60608-5736 | 2019-07-29 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.