Vinson, Wallace L

Vinson, Wallace L is an individual health care provider with primary practice located at 260 S Schmidt Rd Ste G , Bolingbrook IL 60440-3087. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Technologists, Technicians & Other Technical Service Providers / Surgical Technologist. Other Service Providers / Specialist is his primary health care specialty. Vinson, Wallace L can be contacted via phone (630) 754-7760.

Contact Information

Primary practice address
260 S Schmidt Rd Ste G Bolingbrook IL 60440-3087
Phone: (630) 754-7760
Fax: (630) 754-7761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 238000232 Illinois
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X

Profile Details

NPI number 1235360959
LBN Legal business name Vinson, Wallace L
Credentials RSA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2009
Last updated Oct 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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