MR. ROBERT ERIC WALLACE APN
NPI 1720007156
Nurse Practitioner - Family in Macomb, IL

NPI Status: Active since July 18, 2006

Contact Information

1 UNIVERSITY CIR
MACOMB, IL
ZIP 61455
Phone: (309) 298-1888
Fax: (309) 298-2188

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  • Individual
  • Male
  • Nurse Practitioner
  • Family

About ROBERT WALLACE

This page provides the complete NPI Profile along with additional information for Robert Wallace, a provider established in Macomb, Illinois with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1720007156 assigned on July 2006. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1720007156
Provider Name
MR. ROBERT ERIC WALLACE APN
Gender
Male
Entity Type
Individual
Location Address
1 UNIVERSITY CIR MACOMB, IL 61455
Location Phone
(309) 298-1888
Location Fax
(309) 298-2188
Mailing Address
1 UNIVERSITY CIR MACOMB, IL 61455
Mailing Phone
(309) 298-1888
Mailing Fax
(309) 298-2188
Is Sole Proprietor?
No
Enumeration Date
07-18-2006
Last Update Date
07-08-2007
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A nurse practitioner (NP) like Robert Wallace is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License State
IL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720007156
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27400014110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 0 + 1 + 4 + 1 + 1 + 0 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1720007156 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134193691 RENEE L POLUBINSKY ATC, CSCS
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY CIR
MACOMB, IL 61455
(309) 298-2050
1598733305 JESSICA LABER A.T.C./L
Individual
Specialist1 UNIVERSITY CIR 113 WESTERN HALL
MACOMB, IL 61455
(309) 298-1253
1386604148MISS ELIZABETH JANE MORRIS ATHLETIC TRAINER
Individual
Legal Medicine1 UNIVERSITY CIR
MACOMB, IL 61455
(309) 298-1253
1811054299 DEBORAH SHAW CONNER APN
Individual
Nurse Practitioner (Women's Health)1 UNIVERSITY CIR BEU HEALTH CENTER
MACOMB, IL 61455
(309) 298-1888
1043367295 BONNIE JEAN BARTLETT APN
Individual
Nurse Practitioner (Pediatrics)1 UNIVERSITY CIR
MACOMB, IL 61455
(309) 298-1888
1750400297BEU HEALTH CENTER PHARMACY
Organization
Pharmacy (Clinic Pharmacy)1 UNIVERSITY CIR
MACOMB, IL 61455
(309) 298-1888
1407079429 MOLLY LYNN ANDERSON
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY CIR WESTERN ILLINOIS UNIVERSITY
MACOMB, IL 61455
(309) 298-2135
1699934208BEU HEALTH CENTER
Organization
Clinic/Center (Student Health)1 UNIVERSITY CIR
MACOMB, IL 61455
(309) 298-1888
1225287618MR. STEVEN M KOCH ATC
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY CIR
MACOMB, IL 61455
(309) 298-2340
1487806436WESTERN ILLINOIS UNIVERSITY
Organization
Community/Behavioral Health1 UNIVERSITY CIR
MACOMB, IL 61455
(309) 298-1888
1730329426WESTERN ILLINOIS UNIVERSITY SPEECH LANGUAGE HEARING CLINIC
Organization
Audiologist-Hearing Aid Fitter1 UNIVERSITY CIR 125 CURRENS HALL
MACOMB, IL 61455
(309) 298-1955
1023324464MS. LEAH ANN SHAPIRO
Individual
Developmental Therapist1 UNIVERSITY CIR CENTER FOR BEST PRACTICES, WESTERN ILLINOIS UNIVERSITY
MACOMB, IL 61455
(800) 701-0095
1144589706 KATHLEEN KENNEY LCSW, CADC
Individual
Social Worker (Clinical)1 UNIVERSITY CIR
MACOMB, IL 61455
(630) 483-7071
1932252319MR. CHAD C CERULLO MS, LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY CIR WESTERN HALL
MACOMB, IL 61455
(309) 313-4775
1184774879 ROSALYN BORDEN KALANTARI APN
Individual
Nurse Practitioner (Women's Health)1 UNIVERSITY CIR
MACOMB, IL 61455
(309) 298-1888
1457807414 TANNER MAKSYMICZ
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY CIR
MACOMB, IL 61455
(765) 891-0503
1578953725OMAHA VAMC
Organization
Clinic/Center (VA)1 UNIVERSITY CIR
MACOMB, IL 61455
(913) 578-4409
1073964086 SABREEN DASSA
Individual
Developmental Therapist1 UNIVERSITY CIR
MACOMB, IL 61455
(309) 298-3066
1497212864 CHARNELLE NICOLE BRINKER
Individual
Speech-Language Pathologist1 UNIVERSITY CIR
MACOMB, IL 61455
(575) 799-8657
1376511949 JENNIFER M PLOS ATC
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY CIR
MACOMB, IL 61455
(309) 298-1506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720007156, enumerated in the NPI registry as an "individual" on July 18, 2006

The provider is located at 1 University Cir Macomb, Il 61455 and the phone number is (309) 298-1888

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

This NPI record was last updated on July 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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