JAMES EDWARD WALLACE

CHAMPAIGN, IL
NPI1053539783
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  85000087)
Enumeration Date2007-04-20
Last Update Date2013-09-24
Business Address
Mr. JAMES EDWARD WALLACE PA-C
101 W UNIVERSITY AVE SPINE AND PAIN MANAGEMENT
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-8796
Mailing Address
Mr. JAMES EDWARD WALLACE PA-C
101 W UNIVERSITY AVE SPINE AND PAIN MANAGEMENT
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-1326
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