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

Dr. John Wall, MD

Individual provider Family Medicine Physician · NPI 1003899071

Dr. John Wall, MD is a Family Medicine Physician in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
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

1200 W State St
Rockford, IL 61102-2112
Phone: (815) 490-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (IL)

Record details

NPI number1003899071
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 23, 2005
Last updated in NPPESJuly 13, 2026
Mailing address480 Meridian St, Village Of Lakewood, IL 60014-5416

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