AARON SCHUYLER WALLACE (NPI# 1558981688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558981688 |
| Entity Type | Individual |
| Full Name | AARON SCHUYLER WALLACE |
| Practice Address |
5841 S Maryland Ave # Mc1035 Chicago IL 60637-1443 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 7737021865 |
| Practice Fax Number | 7738343888 |
| Mailing Telephone | 7737021150 |
| Enumeration Date | 2020-04-18 |
| Last Update Date | 2020-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 125.076044 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689211468 | Aaron Wallace | Counselor | 3600 Meridian St, Bellingham, WA 98225-1756 | 2019-11-29 |
| 1336636455 | Aaron Faye Wallace | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2018-04-14 |
| 1073037016 | Aaron Michael Wallace | Student in an Organized Health Care Education/Training Program | 100 Woodruff Cir Ne, Atlanta, GA 30322-1020 | 2017-08-01 |
| 1851551279 | Aaron David Wallace | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2008-06-10 |
| 1275701963 | Aaron Jack Wallace | Orthopaedic Surgery | 4802 E Johnson Ave, Jonesboro, AR 72401-6007 | 2008-02-14 |
| 1023107414 | Aaron Wallace | Counselor | 2130 E 4th St, Suite 200, Santa Ana, CA 92705-3818 | 2006-10-12 |
| Street Address |
5841 S MARYLAND AVE # MC1035 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497012694 | Christopher Robert Roxbury | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1443 | 2012-04-12 |
| 1144858820 | Samuel Robert Auger | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1443 | 2020-03-30 |
| 1730640004 | Nirali Maheshkumar Patel | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1443 | 2019-03-28 |
| 1669933222 | Zachary Alexander Warren | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1443 | 2019-03-27 |
| 1013400969 | Laura Anna Petrauskas | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1443 | 2018-06-14 |
| 1457844912 | Avery Nicole Nelson | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1443 | 2018-06-10 |
| 1538698097 | Adam Howard | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1447 | 2017-06-08 |
| 1083142343 | Dara Richer Adams | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1447 | 2017-05-31 |
| 1346690427 | Paige Marie Kennedy | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1447 | 2016-06-20 |
| 1447607841 | Kenneth Yan | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1447 | 2016-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265074934 | Toriumi Facial Plastics Pllc | Otolaryngology | 60 E Delaware Pl Ste 1425, Chicago, IL 60611-1998 | 2019-10-14 |
| 1285100529 | Lauren E Lesniewski | Otolaryngology | 680 N Lake Shore Dr Ste 1210, Chicago, IL 60611-4490 | 2018-10-14 |
| 1982100525 | Muyinat Yewande Osoba | Otolaryngology | 675 N. Saint Clair St, Galter Pavilion, 15th Floor, Room 200, Chicago, IL 60611-5975 | 2018-04-03 |
| 1366822009 | Camil Correia | Otolaryngology | 675 N Saint Clair St Fl 15, Chicago, IL 60611-5975 | 2015-06-08 |
| 1093104523 | Omotara Sulyman | Otolaryngology | 1855 W Taylor St Rm 242, Chicago, IL 60612-7242 | 2015-01-21 |
| 1497012694 | Christopher Robert Roxbury | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1443 | 2012-04-12 |
| 1174899066 | Victoria S Lee | Otolaryngology | 1855 W Taylor St Ste 3, Chicago, IL 60612-7244 | 2012-03-26 |
| 1043508872 | Glenda Lois Montague | Otolaryngology | 5814 S Maryland Ave, U of Chicago Ent Mc 1035 Room E-102 C/o Shanna Jones, Chicago, IL 60637-1462 | 2011-07-13 |
| 1467773960 | Siva Kumar Elangovan | Otolaryngology | 680 N Lake Shore Dr Ste 1425, Chicago, IL 60611-4451 | 2010-06-18 |
| 1598085383 | Virginie Achim | Otolaryngology | 1855 W Taylor St Rm 2.42, Chicago, IL 60612-7242 | 2010-06-03 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on AARON SCHUYLER WALLACE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.