| Douglas M Wallen, | |
|
2502 Galen Dr, Suite 103, Champaign, IL 61821-7045 | |
| (217) 366-0050 | |
| Not Available |
| Full Name | Douglas M Wallen |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 2502 Galen Dr, Champaign, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407010176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019020653 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas M Wallen, 2502 Galen Dr, Suite 103, Champaign, IL 61821-7045 Ph: (217) 366-0050 | Douglas M Wallen, 2502 Galen Dr, Suite 103, Champaign, IL 61821-7045 Ph: (217) 366-0050 |
Jae Ung Jung, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1905 W Springfield Ave, Champaign, IL 61821 Phone: 888-988-4066 | |
Dr. Robert Benjamin Scott, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 805 W. Springfield Ave., Champaign, IL 61820 Phone: 217-352-5088 | |
Oluwatosin Hannah Ayo-okuwobi, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1905 W Springfield Ave, Champaign, IL 61821 Phone: 888-988-4066 | |
Dr. Venu Maturi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 14 E Anthony Dr, Suite B, Champaign, IL 61820 Phone: 217-398-1660 Fax: 217-398-1657 | |
Dr. William Ray Thompson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 507 S Second St, Champaign, IL 61820 Phone: 217-356-1189 Fax: 217-356-1742 | |
Dr. Erika Ynga, DDS Dentist Medicare: Medicare Enrolled Practice Location: 703 S Neil St, Champaign, IL 61820 Phone: 217-398-2244 Fax: 217-398-9188 | |
Thomas E Standley, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 30 E Green Street, Suite 1, Champaign, IL 61820 Phone: 217-355-5600 Fax: 217-355-4550 |