Wallace L. Vinson, RSA
NPI 1235360959ActiveIndividual· Specialist· Bolingbrook, IL
Specialist (RSA) in Bolingbrook, Illinois, licensed in IL, with an NPI issued in July 2009.
Overview
| NPI | 1235360959 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RSA |
| Sole proprietor | No |
| NPI issued | Jul 29, 2009 |
| Last updated in NPPES | Oct 6, 2023 |
| Certified by provider | Oct 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 238000232 | IL |
| Specialist/Technologist, Other, Surgical Technologist | 246ZS0410X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist providers in Bolingbrook
- 1669502688
- 1710037320
- 1154379931
- 1992781108
- 1063823706
- 1992179972
- 1407027360
- 1851410559