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

Dr. Wallace M Anderson, MD

Individual provider Diagnostic Radiology Physician · NPI 1578510913

Dr. Wallace M Anderson, MD is a Diagnostic Radiology in Springfield, Illinois. Qualified in 1987, 39 years ago. Practices with Central Illinois Radiological Associates Ltd, a 204-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
39
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

800 E Carpenter St
Springfield, IL 62769-5360
Phone: (217) 544-6464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4500 Memorial Dr, Belleville, IL 62226-5360 — (618) 257-9567

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 36082306 (IL)

Record details

NPI number1578510913
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2006
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address111 Oakwood Rd, East Peoria, IL 61611-1853

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Central Illinois Radiological Associates Ltd — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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