Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JOHN WALL MD
NPI 1003899071
Family Medicine in Rockford, IL

Active since November 23, 2005
1200 W STATE ST, ROCKFORD, IL 61102(815) 490-1600 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Wall Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN WALL MD (NPI 1003899071) is an individual family medicine provider in Rockford, Illinois and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1003899071
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN WALLCredential: MD
Location Address1200 W STATE STRockford, IL 61102-2112
Mailing Address480 Meridian StVillage Of Lakewood, IL 60014-5416 · (815) 459-2658
Sole ProprietorNo
Enumeration DateNovember 23, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1003899071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1200 W STATE ST, Rockford, IL 61102

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Internal Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Pediatrics
1200 W STATE ST
ROCKFORD, IL 61102
Social Worker
1200 W STATE ST
ROCKFORD, IL 61102
Obstetrics & Gynecology
1200 W STATE ST
ROCKFORD, IL 61102
Advanced Practice Midwife
1200 W STATE ST
ROCKFORD, IL 61102
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Physician Assistant
1200 W STATE ST
ROCKFORD, IL 61102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Wall's NPI number?

The NPI number for John Wall is 1003899071. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is John Wall located?

John Wall practices at 1200 W State St, Rockford, IL 61102. The listed phone number is (815) 490-1600.

What is John Wall's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for John Wall was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.