Dr. Harry L. Wallace is a Moline, Illinois based male chiropractor with 55 years of experience in General Chiropractor. He completed his graduation from Palmer College Chiropractic - Davenport in 1969. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Harry L. Wallace as General Chiropractor is 04667 in Illinois. Dr. Harry L. Wallace is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Harry L. Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
55+ years
Medical School Attended:
Palmer College Chiropractic - Davenport
Graduation Year:
1969
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2001 52nd Ave, Suite 1, Moline, Illinois, 61265-6368
Phone:
309-764-4901
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9830361385
Enrollment ID:
I20111006000072
NPI Number:
1578523734
NPI Enumeration Date:
23 Mar, 2006
NPI Last Update On:
18 Mar, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Harry L. Wallace are as mentioned below.
License Number
Specialization
State
Status
04667
Chiropractor
Illinois
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Harry L. Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Palmer College Foundation (1557266863)
44
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Harry L. Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
527080
Other
Illinois
MEDICARE
038003364
Medicaid
Illinois
323290
Other
Illinois
BLUE CROSS BLUE SHIELD IL
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2001 52nd Ave, Suite 1 Moline, Illinois
Zip:
61265-6368
Phone Number:
309-764-4901
Fax Number:
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Patients can reach Dr. Harry L. Wallace at 2001 52nd Ave, Suite 1, Moline, Illinois or can call to book an appointment on 309-764-4901. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.