Dr Shawn Steven Wallery, DC, MD | |
2350 N. Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | |
(815) 971-2000 | |
Not Available |
Full Name | Dr Shawn Steven Wallery |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 18 Years |
Location | 2350 N. Rockton Ave, Rockford, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881851780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 036125570 (Illinois) | Primary |
111N00000X | Chiropractor | 038007829 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Swedish American Hospital | Rockford, IL | Hospital |
Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
Harrisburg Medical Center | Harrisburg, IL | Hospital |
Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Illinois Medical Services Nfp | 3678677390 | 252 |
Swedishamerican Hospital | 5799698346 | 269 |
Entity Name | Rockford Health Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
Entity Name | Swedishamerican Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012 |
Entity Name | Southern Illinois Medical Services Nfp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
Mailing Address | Practice Location Address |
---|---|
Dr Shawn Steven Wallery, DC, MD 2350 N. Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 Ph: (815) 971-2000 | Dr Shawn Steven Wallery, DC, MD 2350 N. Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 Ph: (815) 971-2000 |
Jack Rodriquez, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6072 Brynwood Dr, Rockford, IL 61114 Phone: 815-636-0825 Fax: 815-636-2271 | |
Shahina H Jafry, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 526 W. State Street, Rockford, IL 61101 Phone: 815-968-9300 Fax: 815-968-5314 | |
Delsie Bella Gavali, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 526 W State Street, Rockford, IL 61101 Phone: 815-968-9300 Fax: 815-968-5314 | |
Carol L Craig, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 526 W State Street, Rockford, IL 61101 Phone: 815-968-9300 | |
Carol Stamp Dubois, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 526 W State Street, Rockford, IL 61101 Phone: 815-968-9300 Fax: 815-968-5314 | |
Dr. Steven Kouris, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1601 Parkview Ave, University Psychiatric Services, Rockford, IL 61107 Phone: 815-395-5870 Fax: 815-395-5644 | |
Dr. Mohsin Khan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2350 N Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 Phone: 815-971-7600 Fax: 815-971-9901 |