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MR. ROBERT ERIC WALLACE APN
NPI 1720007156
Nurse Practitioner - Family in Macomb, IL

Active since July 18, 2006
1 UNIVERSITY CIR, MACOMB, IL 61455(309) 298-1888(309) 298-2188 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Robert Eric Wallace Apn NPPES

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

MR. ROBERT ERIC WALLACE APN (NPI 1720007156) is an individual family provider in Macomb, Illinois and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1720007156
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. ROBERT ERIC WALLACECredential: APN
Location Address1 UNIVERSITY CIRMacomb, IL 61455-1367
Mailing Address1 University CirMacomb, IL 61455-1367 · (309) 298-1888 · Fax (309) 298-2188
Phone(309) 298-1888
Fax(309) 298-2188
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720007156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1 UNIVERSITY CIR, Macomb, IL 61455
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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.

MS. LEAH ANN SHAPIRO
Developmental Therapist
1 UNIVERSITY CIR, CENTER FOR BEST PRACTICES, WESTERN ILLINOIS UNIVERSITY
MACOMB, IL 61455
McDonough County (800) 701-0095
BONNIE JEAN BARTLETT APN
Nurse Practitioner (Pediatrics)
1 UNIVERSITY CIR
MACOMB, IL 61455
McDonough County (309) 298-1888
SABREEN DASSA
Developmental Therapist
1 UNIVERSITY CIR
MACOMB, IL 61455
McDonough County (309) 298-3066
SARA HARRISON RYAN
Developmental Therapist
1 UNIVERSITY CIR
MACOMB, IL 61455
McDonough County (800) 701-0995
RENEE L POLUBINSKY ATC, CSCS
Specialist/Technologist (Athletic Trainer)
1 UNIVERSITY CIR
MACOMB, IL 61455
McDonough County (309) 298-2050
KATHLEEN KENNEY LCSW, CADC
Social Worker (Clinical)
1 UNIVERSITY CIR
MACOMB, IL 61455
McDonough County (630) 483-7071
SABRINA KLEPARSKI
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY CIR
MACOMB, IL 61455
McDonough County (309) 298-1414
ROSALYN BORDEN KALANTARI APN
Nurse Practitioner (Women's Health)
1 UNIVERSITY CIR
MACOMB, IL 61455
McDonough County (309) 298-1888

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 Wallace's NPI number?

The NPI number for Robert Wallace is 1720007156. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Robert Wallace located?

Robert Wallace practices at 1 University Cir, Macomb, IL 61455. The listed phone number is (309) 298-1888.

What is Robert Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Robert Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.