Sara A Wallace, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

17903 Roy St
Lansing, IL 60438-2327

Phone

(708) 251-5081

NPI assigned

Oct 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Chiropractic Care

  dba Schultz Chiropractic Center

  • Chiropractor
  • Fayetteville, NC
  • NPI 1194821520
  Medicare reassignment NPD
• Scheetz Chiropractic, P.C.

  • Chiropractor
  • Monee, IL
  • NPI 1841523438
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659460087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17903 ROY ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382327",
            "telephone_number": "708-251-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17903 ROY ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382327",
            "telephone_number": "708-251-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "SARA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C Arla Avis Vinson, B.S, PHARM D
• Elizabeth Ann Wagner, DPT
• Wal-Mart Stores, Inc (Vision Center 30-2817)
• Walgreen Co (Walgreens #05126)
• Walgreen Co (Walgreens #05127)
• Walmart Inc.
• Nicole Walsh, PHARMD
• Yolanda M Warner-Lewis, OT
• Antoine J Washington
• Stephanie E Washington, PT

• Chiropractor in Lansing, IL
• Providers in Lansing, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.