| Mr Robert Eric Wallace, APN | |
|
1 University Cir, Macomb, IL 61455-1367 | |
| (309) 298-1888 | |
| (309) 298-2188 |
| Full Name | Mr Robert Eric Wallace |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1 University Cir, Macomb, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720007156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert Eric Wallace, APN 1 University Cir, Macomb, IL 61455-1367 Ph: (309) 298-1888 | Mr Robert Eric Wallace, APN 1 University Cir, Macomb, IL 61455-1367 Ph: (309) 298-1888 |
Kelsi D Cunningham, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 E Grant St, Macomb, IL 61455 Phone: 309-836-1542 | |
Bonnie Jean Bartlett, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 University Cir, Macomb, IL 61455 Phone: 309-298-1888 | |
Madeline Bickhaus, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1601 W Jackson St Ste 104, Macomb, IL 61455 Phone: 309-575-3222 Fax: 309-276-0615 | |
Mrs. Megan Clemens, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 E Grant St, Macomb, IL 61455 Phone: 309-833-4101 | |
Ms. Susanne Carol Campbell, APN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 University Circle, Macomb, IL 61455 Phone: 309-298-1888 Fax: 309-298-2188 | |
Rosalyn Borden Kalantari, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 University Cir, Macomb, IL 61455 Phone: 309-298-1888 | |
Ladawna Jo Royer, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 E Grant St, Macomb, IL 61455 Phone: 309-833-4101 |