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DAVID WALLACE M.D.
NPI 1609804525
Internal Medicine - Cardiovascular Disease in Belleville, IL

Active since June 29, 2006
340 W LINCOLN ST, BELLEVILLE, IL 62220(618) 233-6044(618) 233-3287 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Wallace M.d. NPPES

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

DAVID WALLACE M.D. (NPI 1609804525) is an individual cardiovascular disease provider in Belleville, Illinois, licensed in Illinois (036092919) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1609804525
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDAVID WALLACECredential: M.D.
Location Address340 W LINCOLN STBelleville, IL 62220-1900
Mailing Address340 W Lincoln StBelleville, IL 62220-1900 · (618) 233-6044 · Fax (618) 233-3287
Phone(618) 233-6044
Fax(618) 233-3287
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateApril 17, 2017
✔ NPI 1609804525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IL · 036092919
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
340 W LINCOLN ST, Belleville, IL 62220
Open in Google Maps ↗

Other Identifiers 17

Other37099690008Ghp
Medicare PINR03182IL
Other54656Cmr
Medicare UPINE43629IL
Other093355Health Alliance
Other235649Wellcare
Other107076MO · Bcbs Mo
Other12269Essence
Other235649Healthlink
Medicaid0360929191IL
Other060046618Rr Medicare
Medicare PIN596500012IL
Other2501200Secure Horizons
OtherP01024928IL · Railroad
Other1734162Uhc
OtherE43629Mercy
Medicaid205943608MO

Other Providers at the Same Location NPPES 18

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

ROOP LAL M.D.
Internal Medicine (Cardiovascular Disease)
340 W LINCOLN ST
BELLEVILLE, IL 62220
St. Clair County (618) 233-6044
JEAN SCHUMAKER PAC
Physician Assistant (Medical)
340 W LINCOLN ST, SUITE 540
BELLEVILLE, IL 62220
St. Clair County (618) 222-1341
NICHOLAS E POULOS MD
Neurological Surgery
340 W LINCOLN ST, SUITE 540
BELLEVILLE, IL 62220
St. Clair County (618) 222-1341
DESIREE Y MILLER PA-C
Physician Assistant
340 W LINCOLN ST, SUITE#300
BELLEVILLE, IL 62220
St. Clair County (618) 235-4883
DR. BERNARD SZOPA M.D.
Surgery
340 W LINCOLN ST, SUITE 500
BELLEVILLE, IL 62220
St. Clair County (618) 277-7400
DR. CRAIG S VINCH MD
Internal Medicine (Cardiovascular Disease)
340 W LINCOLN ST, STE. 400
BELLEVILLE, IL 62220
St. Clair County (618) 233-6044
COURTNEY DORAN I PA
Physician Assistant (Medical)
340 W LINCOLN ST
BELLEVILLE, IL 62220
St. Clair County (618) 233-6044
ELIZABETH RENAKER-JANSEN DO
Plastic Surgery
340 W LINCOLN ST, SUITE 500
BELLEVILLE, IL 62220
St. Clair County (618) 277-7400

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 David Wallace's NPI number?

The NPI number for David Wallace is 1609804525. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is David Wallace located?

David Wallace practices at 340 W Lincoln St, Belleville, IL 62220. The listed phone number is (618) 233-6044.

What is David Wallace's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for David Wallace was last updated on April 17, 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.