Dr WALLACE M ANDERSON MD is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1987.
CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD
114 W STRATFORD DR E
PEORIA
IL
616147300
Tel: 3097404270
| Npi | 1578510913 |
| Pac Id | 9638068976 |
| Professional Enrollment Id | I20040429000122 |
| Last Name | ANDERSON |
| First Name | WALLACE |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1987 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Group Practice Pac Id | 9436061827 |
| Number Of Group Practice Members | 112 |
| Line 1 Street Address | 114 W STRATFORD DR E |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PEORIA |
| State | IL |
| Zip Code | 616147300 |
| Phone Number | 3097404270 |
| Hospital Affiliation Ccn 1 | 141350 |
| Hospital Affiliation Lbn 1 | ST FRANCIS HOSPITAL |
| Hospital Affiliation Ccn 2 | 140187 |
| Hospital Affiliation Lbn 2 | HSHS ST ELIZABETH'S HOSPITAL |
| Hospital Affiliation Ccn 3 | 140053 |
| Hospital Affiliation Lbn 3 | ST JOHNS HOSPITAL |
| Hospital Affiliation Ccn 4 | 140032 |
| Hospital Affiliation Lbn 4 | ST ANTHONYS MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 5 | 140145 |
| Hospital Affiliation Lbn 5 | ST JOSEPHS HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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