JOHN WALL MD
NPI 1003899071
Family Medicine in Village Of Lakewood,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 23, 2005

Contact Information

480 Meridian St
Village Of Lakewood,
Post Code: 60014
Phone: (815) 459-2658
Fax: -

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John Wall Md in Village Of Lakewood - Family Medicine

John Wall Md is a Family Medicine in Village Of Lakewood, . John Wall Md practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John Wall Md is 1003899071. The last update date is 2007-07-09.

John Wall Md's current location address is 480 Meridian St, Village Of Lakewood, . You can contact this provider via phone number (815) 459-2658 and fax number -. The mailing address for John Wall Md is 480 Meridian St, Village Of Lakewood, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003899071
Provider Name
JOHN WALL MD
Gender
Male
Entity Type
Individual
Location Address
480 Meridian St, Village Of Lakewood,
Location Phone
(815) 459-2658
Location Fax
-
Mailing Address
1200 W State St, Rockford, Illinois(IL)
Mailing Phone
815-490-1600
Mailing Fax
-
Enumeration Date
2005-11-23
Last Update Date
2007-07-09
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
036037806
License State
Illinois (IL)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
036037806 MEDICAID (05) Illinois (IL)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003899071
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200316918014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 200316918014
2 + 0 + 0 + 3 + 1 + 6 + 9 + 1 + 8 + 0 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1003899071 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003898768 JOSEPH FRANK GRASSO
Individual
Optometrist 15 N LOCUST ST
PINCKNEYVILLE, Illinois (IL)
618-357-6117
1003897893 WARREN BARR NURSING PAVILION, LLC
WARREN BARR PAVILION
Organization
Skilled Nursing Facility 66 W OAK ST
CHICAGO, Illinois (IL)
312-705-5100
1003897786 BRADLEY D SHAPIRO
Individual
Internal Medicine, Gastroenterology 2359 HASSELL RD
HOFFMAN ESTATES, Illinois (IL)
847-843-7030
1003896978 MARK A KONIECZNY
Individual
Podiatrist 1220 HOBSON RD
NAPERVILLE, Illinois (IL)
630-355-9811
1003896903 THOMAS E BURNS
Individual
Urology 1541 RIVERBOAT CENTER DR
JOLIET, Illinois (IL)
815-409-4930