Lance T Wallace, MD | |
20939 S Cicero Ave, Matteson, IL 60443-1620 | |
(708) 709-9375 | |
(708) 709-6353 |
Full Name | Lance T Wallace |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 34 Years |
Location | 20939 S Cicero Ave, Matteson, 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 |
---|---|---|---|
1538100128 | NPI | - | NPPES |
IL5686032 | Other | IL | MEDICARE PTAN |
036085478 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036085478 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spring Meadows Home Health Care, Llc | Niles, IL | Home health agency |
Harbor Light Hospice | Glen ellyn, IL | Hospice |
Franciscan Health Olympia Fields & Chicago Heights | Olympia fields, IL | Hospital |
Ingalls Memorial Hospital | Harvey, IL | Hospital |
Bria Of Chicago Heights | South chicago height, IL | Nursing home |
St James Wellness Rehab Villas | Crete, IL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Specialty Physicians Of Illinois Llc | 4183529456 | 110 |
Entity Name | Specialty Physicians Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124075676 PECOS PAC ID: 4183529456 Enrollment ID: O20031201000602 |
Entity Name | Monarch Hospice & Palliative Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538267703 PECOS PAC ID: 1456327444 Enrollment ID: O20200130000434 |
Mailing Address | Practice Location Address |
---|---|
Lance T Wallace, MD 35318 Eagle Way, Chicago, IL 60678-1353 Ph: (317) 865-8988 | Lance T Wallace, MD 20939 S Cicero Ave, Matteson, IL 60443-1620 Ph: (708) 709-9375 |
Leonard Robinson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20939 S Cicero Ave, Matteson, IL 60443 Phone: 708-709-9375 Fax: 708-283-1137 | |
Dorothy M Jones, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20939 S Cicero Ave, Matteson, IL 60443 Phone: 708-679-2770 Fax: 708-283-1137 |