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

Mr. Wallace L Vinson, RSA

Individual provider Specialist · NPI 1235360959

Mr. Wallace L Vinson, RSA is a Specialist in Bolingbrook, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
Specialties on file
2

Practice location Address checks out

260 S Schmidt Rd Ste G
Bolingbrook, IL 60440-3087
Phone: (630) 754-7760
Fax: (630) 754-7761
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 238000232 (IL)
Surgical Technologist Taxonomy 246ZS0410X

Record details

NPI number1235360959
Entity typeIndividual (Type 1)
GenderMale
Credentials RSA
Sole proprietorNo
NPI enumeratedJuly 29, 2009
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023

Other providers in Bolingbrook