| Mr James Edward Wallace Jr, PA-C | |
|
101 W University Ave, Spine And Pain Management, Champaign, IL 61820-3909 | |
| (217) 366-8796 | |
| (217) 366-6106 |
| Full Name | Mr James Edward Wallace Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 101 W University Ave, Champaign, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053539783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 85000087 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Edward Wallace Jr, PA-C 101 W University Ave, Spine And Pain Management, Champaign, IL 61820-3909 Ph: (217) 366-1326 | Mr James Edward Wallace Jr, PA-C 101 W University Ave, Spine And Pain Management, Champaign, IL 61820-3909 Ph: (217) 366-8796 |
Ellen Flora, Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1248 | |
Kristine S Anderson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-383-3260 Fax: 217-383-4459 | |
Jessica Sorensen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3101 Fields South Dr, Champaign, IL 61822 Phone: 217-366-1228 | |
Allen Thomas, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1801 Windsor Rd, Champaign, IL 61822 Phone: 217-366-8130 Fax: 217-366-6106 | |
Julie A Young, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 Phone: 217-383-3260 Fax: 217-383-4459 | |
Whitney Kauffman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-8107 Fax: 217-366-6106 |