SHAWN S WALLERY, D.C., M.D., Neurology ROCKFORD, IL

Contact Information

SHAWN S WALLERY, D.C., M.D.

2350 N. ROCKTON AVE
ROCKFORD HEALTH PHYSICIANS
ROCKFORD, IL 61103

Phone: 815-971-2000
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Neurology	2084N0400X	13	Physician/Neurology
Chiropractor	111N00000X	35	Chiropractic

Indicates primary specialty

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NPI Profile & details for SHAWN S WALLERY · (Male)

NPI Number	`1881851780`
Status	Active
Credentials	D.C., M.D.
Entity	Individual
Enumeration date	05/19/2008
Last updated	09/19/2023 - About 3 years ago
Sole proprietor ¹	Yes
Identifiers	IL License # 036125570 IL License # 038007829
Hospital affiliation(s)	HERRIN HOSPITAL - (Acute Care) 201 S 14TH ST HERRIN, IL 62948 MEMORIAL HOSPITAL OF CARBONDALE - (Acute Care) 405 W JACKSON CARBONDALE, IL 62902

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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