Jarrod C Wall
Surgeon Surgical Critical Care
747 N Rutledge St 5th Floor
Springfield
, Illinois 62702-6700
Jarrod C Wall
Surgeon Surgical Critical Care
747 N Rutledge St 5th Floor
Springfield
, Illinois 62702-6700
(217) 545-7795
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
Languages spoken
- English
Location
First Address
- Jarrod C Wall
- Po Box 19663
- Springfield, IL
- Zip : 62794-9663
- Fax : (217) 545-7795
- Phone : (217) 545-3100
Second Address
- Jarrod C Wall
- 747 N Rutledge St 5th Floor
- Springfield, IL
- Zip : 62702-6700
- Fax : (217) 545-7795
- Phone : (217) 545-3100
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FAQs
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What type of doctor is Jarrod C Wall
In what state does Jarrod C Wall practice in?
Where is Jarrod C Wall ’s practice located?
What is Jarrod C Wall ’s gender?
Is Jarrod C Wall a sole practitioner?
Is Jarrod C Wall accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 46894 | MN |
| N | 208600000X | Surgeon | 46894 | MN |
| Y | 2086S0102X | Surgical Critical Care | 036-121923 | IL |
National Provider Identifier
| NPI | 1184695520 |
|---|---|
| Provider Name | Jarrod C Wall |
| First Address | Springfield, IL 62794-9663 |
| Second Address | Springfield, IL 62702-6700 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/02/2006 |
| Last Update Date | 07/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036-121923 | (05) | IL |
| 492479700 | (05) | MN |
| I22856 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.