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

Dr. Jonathan Wallace, MD

Individual provider Specialist · NPI 1568422012

Dr. Jonathan Wallace, MD is a General Surgery in Hoffman Estates, Illinois. Graduated from Tufts University School of Medicine in 1998, 28 years ago. Practices with Bonaventure Medical Foundation LLC, a 165-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
28
Trained at
Tufts University School of Medicine
Licensed in
IL
In the registry since
2006
Specialties on file
2
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

4885 Hoffman Blvd Ste 400
Hoffman Estates, IL 60192-3726
Phone: (847) 255-9697
Fax: (847) 255-9697
Show map & directions

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

Additional practice locations (1)

  • 955 Beisner Rd, Elk Grove Village, IL 60007-3475 — (847) 640-5666

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036108563 (IL)
Specialist Taxonomy 174400000X · Licence 036108563 (IL)

Record details

NPI number1568422012
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2006
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021
Mailing address4885 Hoffman Blvd, Suite 400, Hoffman Estates, IL 60192-3726

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Bonaventure Medical Foundation Llc — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Hoffman Estates