Dr. Kevin R Wallace is a Chicago, Illinois based Dentist with 34 years of experience in Dentistry. He completed his graduation from Other in 1990 He is also affiliated with hospitals like . He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. His current practice location is 150 E Huron St, Ste 1103, Chicago. Patients can reach him at 312-676-9893.
Dr. Kevin R Wallace is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kevin R 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.
Name:
Dr. Kevin R Wallace
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Experience:
34+ years
Medical School Attended:
Other
Graduation Year:
1990
Accepts Medicare Assignment:
May Accept
Practice Address:
150 E Huron St, Ste 1103, Chicago, Illinois, 60611
Phone:
312-676-9893
Fax:
815-744-7059
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:
1951691237
Enrollment ID:
I20160620000860
NPI Number:
1053423285
NPI Enumeration Date:
01 Sep, 2006
NPI Last Update On:
19 Jan, 2021
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(140281)
Chicago, IL
Acute Care Hospital
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. Kevin R Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Dental Sleep Center Richard A Craig Dds Ltd (8820287121)
4
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
He does not participate in the Physician Quality Reporting System Incentive Program.
EHR
He does not participate in the Electronic Health Record Incentive Program.
MHI
He does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
14831 W 159th St Ste 1, Lockport, Illinois
Zip:
60491-9008
Phone Number:
630-324-5369
Fax Number:
815-744-7059
Patients can reach Dr. Kevin R Wallace at 150 E Huron St, Ste 1103, Chicago, Illinois or can call to book an appointment on 312-676-9893. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.