DAVID B. WALLACE

AURORA, IL
NPI1295736809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  036050183)
Enumeration Date2005-08-04
Last Update Date2008-05-13
Business Address
-- DAVID B. WALLACE M.D.
325 N HIGHLAND AVE PROVENA MERCY MEDICAL CENTER
AURORA, IL 60506-3811
Phone number: 630-859-2222
Mailing Address
-- DAVID B. WALLACE M.D.
520 E 22ND ST
LOMBARD, IL 60148-6110
Phone number: 630-874-2542
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