Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Adam N Wallace, MD

Individual provider Neurology Physician · NPI 1801117585

Dr. Adam N Wallace, MD is a Diagnostic Radiology in Rockford, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2010, 16 years ago. Practices with Columbia St Marys Hospital Milwaukee Inc, a 314-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado, Illinois, Minnesota and Missouri and 2 more.

Years since qualifying
16
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
CO, IL, MN, MO, NY, WI
In the registry since
2010
Specialties on file
10
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone: (815) 971-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 7505 Metro Blvd Ste 400, Edina, MN 55439 — (612) 573-2200
  • 2845 Greenbrier Rd, Green Bay, WI 54311-6519 — (920) 288-8044
  • 2301 N Lake Dr Ste 1104, Milwaukee, WI 53211-4508 — (414) 215-9375

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence 036.148822 (IL)
Neurology Physician Taxonomy 2084N0400X · Licence 036.148822 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 319983 (NY)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 70505-20 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence DR.0068906 (CO)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 61898 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036.148822 (IL)
Neurology Physician Taxonomy 2084N0400X · Licence 70505-20 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 70505-20 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2015013114 (MO)

Record details

NPI number1801117585
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2010
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2010 (16 years in practice)
Group practice Columbia St Marys Hospital Milwaukee Inc — 314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations13 on file with Medicare

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