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Stephen Wallace, M.D.
NPI 1548360134 · Pediatrics Physician · Springfield, IL
Stephen Wallace, M.D. is a Pediatrics Physician provider in Springfield, IL (NPI 1548360134).
Provider details
- NPI number
- 1548360134
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036-055346 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 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
2532 Farragut Dr
Springfield, IL 62704-1433
Phone: (217) 787-9424
Street-level locationGet directions
Mailing address
1025 S 6th St
Springfield, IL 62703-2403
Registry dates
- Enumerated
- 2006-09-23
- Last updated
- 2009-01-29
Frequently asked questions
- What is Stephen Wallace's NPI number?
- Stephen Wallace's National Provider Identifier (NPI) is 1548360134, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Wallace's specialty?
- Stephen Wallace is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Stephen Wallace located?
- Stephen Wallace's practice location on file with NPPES is 2532 Farragut Dr, Springfield, IL 62704-1433.
- What is Stephen Wallace's phone number?
- The practice phone number listed in the NPPES registry for Stephen Wallace is (217) 787-9424.
- Is Stephen Wallace's NPI active?
- Yes — Stephen Wallace's NPI (1548360134) is active in the NPPES registry as of the last update on 2009-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.