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

John S Pallin, MD

Individual provider Specialist · NPI 1790842631

John S Pallin, MD is a Diagnostic Radiology in Kenosha, Wisconsin. Graduated from University of Wisconsin School of Medicine in 1980, 46 years ago. Accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
46
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2007
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

10117 74th St Ste 150
Kenosha, WI 53142-7533
Phone: (262) 697-7770
Fax: (262) 697-7771
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 29659020 (WI)

Record details

NPI number1790842631
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESJuly 8, 2007
Mailing address10117 74th St, Suite 150, Kenosha, WI 53142-7533

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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