STEPHEN E. WALLACE

SPRINGFIELD, IL
NPI1548360134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  036-055346)
Enumeration Date2006-09-23
Last Update Date2009-01-29
Business Address
Dr. STEPHEN E. WALLACE M.D.
2532 FARRAGUT DR
SPRINGFIELD, IL 62704-1433
Phone number: 217-787-9424
Mailing Address
Dr. STEPHEN E. WALLACE M.D.
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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