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ROBERT C. WANLESS M.D.
NPI 1548258288
Plastic Surgery in Belleville, IL

Active since October 06, 2005
4600 MEMORIAL DR, SUITE 320, BELLEVILLE, IL 62226(618) 257-2100(618) 257-2169 Get Directions Write a Review

NPPES record last updated: March 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert C. Wanless M.d. NPPES

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

ROBERT C. WANLESS M.D. (NPI 1548258288) is an individual plastic surgery provider in Belleville, Illinois, licensed in Illinois (036 - 052657) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1548258288
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameROBERT C. WANLESSCredential: M.D.
Location Address4600 MEMORIAL DR, SUITE 320Belleville, IL 62226-5366
Mailing Address4600 Memorial Dr, Suite 320Belleville, IL 62226-5366 · (618) 257-2100 · Fax (618) 257-2169
Phone(618) 257-2100
Fax(618) 257-2169
Sole ProprietorNo
Enumeration DateOctober 6, 2005
Last NPPES UpdateMarch 20, 2014
✔ NPI 1548258288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in IL · 036 - 052657
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
4600 MEMORIAL DR, Belleville, IL 62226
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Other Identifiers 4

Medicare UPINA - 12878
Medicare PINIL3521024IL
Medicare ID-Type UnspecifiedK - 16890Individual Medicare #
Medicaid036052657IL

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.

PC ASSOCIATE, LLC
Family Medicine
4600 MEMORIAL DR, STE 160
BELLEVILLE, IL 62226
St. Clair County (618) 235-0460
CINDY L. AULD FNP
Nurse Practitioner (Obstetrics & Gynecology)
4600 MEMORIAL DR, STE. 400
BELLEVILLE, IL 62226
St. Clair County (618) 234-2390
HEALTHCARE PHYSICIANS OF SOUTHERN ILLINOIS, PC
Family Medicine
4600 MEMORIAL DR, SUITE 100
BELLEVILLE, IL 62226
St. Clair County (618) 222-9999
KATHLEEN K FOURNIER MD
Internal Medicine
4600 MEMORIAL DR, SUITE 100
BELLEVILLE, IL 62226
St. Clair County (618) 222-9999
MSA ALLIANCE, LLC DBA-SOUTHERN ILLINOIS VASCULAR AND VEIN SURGERY
Surgery (Vascular Surgery)
4600 MEMORIAL DR, SUITE120
BELLEVILLE, IL 62226
St. Clair County (618) 222-1020
AFFILIATED ANKLE AND FOOT SURGEONS
Podiatrist
4600 MEMORIAL DR, SUITE 300
BELLEVILLE, IL 62226
St. Clair County (618) 277-9533
DR. LINDSEY KRUMHOLZ MD
Pediatrics
4600 MEMORIAL DR, SUITE 280
BELLEVILLE, IL 62226
St. Clair County (618) 257-2800
MSA ALLIANCE, LLC
Surgery (Vascular Surgery)
4600 MEMORIAL DR, STE 240
BELLEVILLE, IL 62226
St. Clair County (618) 222-1020

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 Robert Wanless's NPI number?

The NPI number for Robert Wanless is 1548258288. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Robert Wanless located?

Robert Wanless practices at 4600 Memorial Dr Suite 320, Belleville, IL 62226. The listed phone number is (618) 257-2100.

What is Robert Wanless's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Robert Wanless was last updated on March 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.