IndividualActive
John Wall, MD
NPI 1003899071 · Family Medicine Physician · Rockford, IL
John Wall, MD is a Family Medicine Physician provider in Rockford, IL (NPI 1003899071).
Provider details
- NPI number
- 1003899071
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
Practice location
1200 W State St
Rockford, IL 61102-2112
Phone: (815) 490-1600
Street-level locationGet directions
Mailing address
480 Meridian St
Village of Lakewood, IL 60014-5416
Registry dates
- Enumerated
- 2005-11-23
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.