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DR. SHAWN STEVEN WALLERY D.C. M.D. NPI 1881851780


NPI Information

NPI: 1881851780
Provider Name: DR. SHAWN STEVEN WALLERY, D.C., M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: SOUTHERN ILLINOIS MEDICAL SERVICES NFP

PECOS Registration: Yes

Address:
2350 N. ROCKTON AVE
ROCKFORD HEALTH PHYSICIANS
ROCKFORD, IL
ZIP 61103
Phone: (815) 971-2000
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DR. Shawn Steven Wallery, D.C., M.D. is a neurology psychiatry neurology in Rockford, IL with 17 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Shawn Steven Wallery, D.C., M.D. NPI is 1881851780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2350 N. ROCKTON AVE
ROCKFORD HEALTH PHYSICIANS
ROCKFORD, IL
ZIP 61103
Phone: (815) 971-2000

The NPI 1881851780 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 2/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor038007829ILLINOISNo
22084N0400XPsychiatry & NeurologyNeurology125055297ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.