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

Dr. Stephen E. Wallace, MD

Individual provider Pediatrics Physician · NPI 1548360134

Dr. Stephen E. Wallace, MD is a Pediatrics Physician in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
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

2532 Farragut Dr
Springfield, IL 62704-1433
Phone: (217) 787-9424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036-055346 (IL)

Record details

NPI number1548360134
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 23, 2006
Last updated in NPPESJanuary 29, 2009
Mailing address1025 S 6th St, Springfield, IL 62703-2403

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