Dr John Wall, MD - Family Medicine in Rockford, IL

Dr John Wall, MD is a Family Medicine physician based in Rockford, Illinois. Dr John Wall is licensed to practice in Illinois (license number ) and his current practice location is 1200 W State St, Rockford, Illinois. He can be reached at his office (for appointments etc.) via phone at (815) 490-1600.

NPI number for Dr John Wall is 1003899071 and his current mailing address is 480 Meridian St, Village Of Lakewood, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003899071.

Contact Information

Dr John Wall, MD
1200 W State St,
Rockford, IL 61102-2112
(815) 490-1600
Not Available



Physician's Profile

Full NameDr John Wall
GenderMale
SpecialityFamily Medicine
Location1200 W State St, Rockford, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003899071
  • Provider Enumeration Date: 11/23/2005
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Dr John Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003899071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Wall is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John Wall, MD
480 Meridian St,
Village Of Lakewood, IL 60014-5416

Ph: (815) 459-2658
Dr John Wall, MD
1200 W State St,
Rockford, IL 61102-2112

Ph: (815) 490-1600

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Family Medicine Doctors in Rockford, IL

Srivani Sridhar, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3505 N. Bell School Rd., Rockford, IL 61114
Phone: 779-696-0300    
Dr. Steven J Lidvall, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1215 N Alpine Rd, Rockford, IL 61107
Phone: 815-391-7807    
Dr. Arpana Broor Mathur, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 698 Featherstone Rd, Suite 250, Rockford, IL 61107
Phone: 815-399-4404    Fax: 815-484-7091
Ms. Rachael Mcpeek, NP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1215 N Alpine Rd, Rockford, IL 61107
Phone: 815-490-1600    
Dr. Jithinraj Edakkanambeth Varayil, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 W State St, Rockford, IL 61102
Phone: 815-490-1600    Fax: 815-490-1881
Dr. Raju M Shanmugam, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3401 N Perryville Rd, Rockford, IL 61114
Phone: 815-971-2000    Fax: 815-971-2000

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