Wallace K Abel
Family Doctor
311 W Lincoln St Ste 200
Belleville
, Illinois 62220-1902
Wallace K Abel
Family Doctor
311 W Lincoln St Ste 200
Belleville
, Illinois 62220-1902
(618) 234-5650
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Wallace K Abel
- 311 W Lincoln St Suite 300
- Belleville, IL
- Zip : 62220-1902
- Fax : (618) 234-5650
- Phone : (618) 234-2566
Second Address
- Wallace K Abel
- 311 W Lincoln St Ste 200
- Belleville, IL
- Zip : 62220-1902
- Fax : (618) 234-5650
- Phone : (618) 234-2566
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 036-076085 | IL |
National Provider Identifier
| NPI | 1003808858 |
|---|---|
| Provider Name | Wallace K Abel |
| First Address | Belleville, IL 62220-1902 |
| Second Address | Belleville, IL 62220-1902 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2005 |
| Last Update Date | 20/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 103950 | HEALTH ALLIANCE (01) | |
| 1161218 | UHC/COMMERCIAL (01) | |
| 118809 | HEALTHLINK (01) | |
| 14796 | BLUE CROSS BLUE SHIELD (01) | MO |
| 166406 | GROUP HEALTH PLAN (01) | |
| 678480001 | DMERC (01) | |
| 7942001 | AETNA (01) | |
| 80015976 | RR MEDICARE (01) | |
| 932248051 | BLUE CROSS BLUE SHIELD (01) | IL |
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.