Jarrod C. Wall, MD
Surgical Critical Care Physician · Springfield, IL
Practice location
747 N Rutledge St Fl 2Springfield, IL 62702-6700
- Phone
- (217) 545-8000
- Fax
- (217) 545-7795
NPI record
- NPI
- 1184695520
- Entity type
- Individual (Type 1)
- Enumeration date
- February 1, 2006
- Last updated
- January 29, 2024
- Certified
- January 29, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgical Critical Care Physician Primary | 2086S0102X |
036-121923 | IL |
| Surgery Physician | 208600000X |
46894 | MN |
| Surgery Physician | 208600000X |
036.121923 | IL |
Mailing address
PO Box 19639Springfield, IL 62794-9639
- Phone
- (217) 545-8000
About Dr. Wall
Jarrod C. Wall, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Critical Care Physician (code 2086S0102X). The practice location is 747 N Rutledge St Fl 2, Springfield, IL 62702-6700. The NPI number 1184695520 was assigned on February 1, 2006 and the record was last updated on January 29, 2024.
Dr. Wall lists 3 licenses in the registry: #036-121923 (IL) for Surgical Critical Care Physician; #46894 (MN) for Surgery Physician; #036.121923 (IL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jarrod C. Wall, MD?
The NPI number is 1184695520.
What is the phone number of Dr. Wall?
The phone number listed for the practice location is (217) 545-8000.
Where is Dr. Wall located?
747 N Rutledge St Fl 2, Springfield, IL 62702-6700.
What is the taxonomy code for Dr. Wall?
The primary taxonomy code is 2086S0102X – Surgical Critical Care Physician; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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