Most Relevant Information
Provider Data
| NPI Number: | 1003808858 |
| Provider Name: | WALLACE K ABEL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 036-076085 |
Most Important Dates
| Enumeration Date: | 08/18/2005 |
| Last Updated: | 12/20/2021 |
Provider Practice Location
311 W LINCOLN ST STE 200
BELLEVILLE
IL
622201902
Practice Location Phone/Fax
| Phone: | 6182342566 |
| Fax: | 6182345650 |
Provider Mailing Location
311 W LINCOLN ST
SUITE 300
BELLEVILLE
IL
622201902
Provider Mailing Phone/Fax
| Phone: | 6182342566 |
| Fax: | 6182345650 |
Suggested EMR
Family Practice EMR