DR. KEVIN R WALLACE DMD
NPI 1053423285
Dentist - General Practice in Chicago, IL
About Dr. Kevin R Wallace Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEVIN R WALLACE DMD (NPI 1053423285) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019022339) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses 2
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Other Identifiers 8
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kevin R Wallace Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwestern Lake Forest Hospital
Acute Care Hospitals · Lake Forest, ILAdvocate Illinois Masonic Medical Center
Acute Care Hospitals · Chicago, ILAdvocate Lutheran General Hospital
Acute Care Hospitals · Park Ridge, ILNorthwestern Memorial Hospital
Acute Care Hospitals · Chicago, ILAdvocate Good Shepherd Hospital
Acute Care Hospitals · Barrington, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHICAGO, IL 60611
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 Kevin Wallace's NPI number?
The NPI number for Kevin Wallace is 1053423285. It was assigned to this individual provider in the NPPES registry on September 1, 2006.
Where is Kevin Wallace located?
Kevin Wallace practices at 150 E Huron St Ste 1103, Chicago, IL 60611. The listed phone number is (312) 676-9893.
What is Kevin Wallace's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Kevin Wallace enrolled in Medicare?
Yes. Kevin Wallace is registered in the Medicare PECOS enrollment system.
What insurance does Kevin Wallace accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kevin Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kevin Wallace affiliated with any hospitals?
According to CMS data, Kevin Wallace is affiliated with Northwestern Lake Forest Hospital, Advocate Illinois Masonic Medical Center, Advocate Lutheran General Hospital, Northwestern Memorial Hospital and Advocate Good Shepherd Hospital.
When was this NPI record last updated?
The NPPES record for Kevin Wallace was last updated on January 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.