What is Mary Wallace's NPI number?

Mary Wallace's National Provider Identifier (NPI) is 1083759955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mary Wallace's specialty?

Mary Wallace is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).

Where is Mary Wallace located?

Mary Wallace's practice location on file with NPPES is 3010 Grand Ave, Waukegan, IL 60085-2321.

What is Mary Wallace's phone number?

The practice phone number listed in the NPPES registry for Mary Wallace is (847) 377-8122.

Is Mary Wallace's NPI active?

Yes — Mary Wallace's NPI (1083759955) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Mary Wallace, RN

NPI 1083759955 · Registered Nurse · Waukegan, IL

Mary Wallace, RN is a Registered Nurse provider in Waukegan, IL (NPI 1083759955).

Provider details

NPI number: 1083759955
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Credential: RN
Sex: Female
Sole proprietor: No
License: 41204986 (IL)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense 41204986 (IL)
Nursing Service Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3010 Grand Ave

Waukegan, IL 60085-2321

Phone: (847) 377-8122

Street-level locationGet directions

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Mailing address