CODY WALLACE
NPI 1386182038
Student in an Organized Health Care Education/Training Program in Hampshire, IL

Q: What is Cody Wallace's NPI number?

The NPI number for Cody Wallace is 1386182038. It was assigned to this individual provider in the NPPES registry on February 2, 2017.

Q: What is Cody Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Cody Wallace was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 02, 2017

12N854 MEADOWLARK DR, HAMPSHIRE, IL 60140(847) 652-6743 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cody Wallace NPPES

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

CODY WALLACE (NPI 1386182038) is an individual student in an organized health care education/training program in Hampshire, Illinois and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1386182038

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCODY WALLACE

Location Address12N854 MEADOWLARK DRHampshire, IL 60140-8919

Mailing Address12n854 Meadowlark DrHampshire, IL 60140-8919 · (847) 652-6743

Phone(847) 652-6743

Sole ProprietorNo

Enumeration DateFebruary 2, 2017

✔ NPI 1386182038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

12N854 MEADOWLARK DR, Hampshire, IL 60140

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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 Cody Wallace's NPI number?

The NPI number for Cody Wallace is 1386182038. It was assigned to this individual provider in the NPPES registry on February 2, 2017.

Where is Cody Wallace located?

Cody Wallace practices at 12n854 Meadowlark Dr, Hampshire, IL 60140. The listed phone number is (847) 652-6743.

What is Cody Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Cody Wallace was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.