JOHN WALL

ROCKFORD, IL
NPI1003899071
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2005-11-23
Last Update Date2007-07-09
Business Address
DR. JOHN WALL MD
1200 W STATE ST
ROCKFORD, IL 61102-2112
Phone number: 815-490-1600
Mailing Address
DR. JOHN WALL MD
480 MERIDIAN ST
VILLAGE OF LAKEWOOD, IL 60014-5416
Phone number: 815-459-2658
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