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

Dr. Gabriel Abraham Wallace, MD

Individual provider Surgery Physician · NPI 1609142074

Dr. Gabriel Abraham Wallace, MD is a Vascular Surgery in Palos Heights, Illinois. Graduated from University of Washington School of Medicine in 2012, 14 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Trained at
University of Washington School of Medicine
Licensed in
IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12251 S 80th Ave Ste 1520
Palos Heights, IL 60463-1290
Phone: (708) 923-4200
Fax: (708) 923-4201
Show map & directions

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

Additional practice locations (2)

  • 10258 Southwest Hwy Ste A, Chicago Ridge, IL 60415-1361 — (708) 346-9533
  • 1959 Ne Pacific St, Seattle, WA 98195-6410 — (206) 543-3687

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 036142476 (IL)
Surgery Physician Taxonomy 208600000X · Licence 036142476 (IL)

Record details

NPI number1609142074
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 29, 2012
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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