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Active NPI 1235360959 Individual Practitioner Male Practitioner

Wallace L Vinson , RSA

Specialist • Bolingbrook, IL

Professional Overview & Biography Verified Profile Summary

Wallace Vinson, RSA is a registered healthcare professional specializing in Specialist in Bolingbrook, IL. Practice services are available at 260 S SCHMIDT RD STE G under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

260 S Schmidt Rd Ste G

Bolingbrook, IL 604403087

Telephone 6307547760
Fax 6307547761
Associated Practice Facility / Clinic
🏢 Epic Surgical Solutions Llc Facility NPI 1598002735

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bolingbrook, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 57.0 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Bolingbrook, IL (1322 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-06
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 238000232

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist/Technologist, Other - Surgical Technologist

NUCC Taxonomy Code: 246ZS0410X

Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Sheik Shafiudeen Mohamed Meerasahib , SURGICAL ASSISTANT

Specialist/Technologist, Other - Surgical Assistant

NPI 1144829284

SURGICALASSISTANT

Nicole Phillips , RNFA

Registered Nurse

NPI 1427658723

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location November 20, 2019

Registered at 260 S SCHMIDT RD STE G, BOLINGBROOK, IL 604403087 (Tel: 6307547760)

📍
Updated Business Mailing Address November 20, 2019

Registered at 260 S SCHMIDT RD STE G, BOLINGBROOK, IL 604403087 (Tel: 6307547760)

📍
Updated Practice Location October 30, 2018

Registered at 504 MAIN ST, MARSEILLES, IL 613411419 (Tel: 8155133654)

📍
Updated Business Mailing Address October 30, 2018

Registered at 504 MAIN ST, MARSEILLES, IL 613411419 (Tel: 8155133654)

NPI Profile Active January 07, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 07, 2013

Registered at 2111 ALLEGRE CIR, UNIT 308, NAPERVILLE, IL 605632399 (Tel: 9312151574)

📍
Updated Business Mailing Address January 07, 2013

Registered at PO BOX 1416, BOLINGBROOK, IL 604400802 (Tel: 9312151574)

👤
Provider Name / Credentials Updated January 07, 2013

Recorded as WALLACE VINSON, RSA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2013

Specialist (License #238000232 in IL)

🟢
Initial NPI Registration & Enumeration July 29, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1235360959
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2009
Last Update: October 06, 2023
Sole Proprietor: No

Mailing Address

260 S Schmidt Rd Ste G

Bolingbrook, IL 604403087

Phone: 6307547760

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.