Elizabeth Nicole Wallis, MD
Elizabeth Nicole Wallis, MD is a Pediatrics Physician in Bloomington, Illinois. Licensed in Illinois and Louisiana. Registered with an NPI since 2019.
- Licensed in
- IL, LA
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
200 W Monroe St Ste 302Bloomington, IL 61701-3997
Phone: (309) 204-6766
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 331615 (LA) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X · Licence 036.176418 (IL) |
Record details
| NPI number | 1821551334 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 11, 2019 |
| Last updated in NPPES | August 3, 2026 |
| Certification date | August 3, 2026 |
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