DREW MICHAEL WALLACE (ATC) – Athletic Trainer, NPI 1669878625

DREW MICHAEL WALLACE (ATC) is a healthcare provider. based in Poplar grove, Illinois. specializing in Athletic Trainer. They hold the professional credentials ATC. They hold a License No. 200014924 (IL). The NPI Number for DREW MICHAEL WALLACE (ATC) is 1669878625

Main info

Male
Name
DREW MICHAEL WALLACE (ATC)
NPI
1669878625
Phone
(815) 765-3311
Address
17823 POPLAR GROVE RD
Enumeration Date
18 November 2014
Last Update Date
18 November 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for DREW MICHAEL WALLACE (ATC)

  • 17823 POPLAR GROVE RD

    POPLAR GROVE, IL 610659014

    Phone: (815) 765-3311

    Type: Location

  • 5061 LINDEN RD

    #5303

    ROCKFORD, IL 611095834

    Phone: (815) 878-5391

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61065)

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Reviews

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Frequently asked questions

What is the registry number for DREW MICHAEL WALLACE (ATC)?
The registry entry for DREW MICHAEL WALLACE (ATC) shows NPI 1669878625.
Quick check: is DREW MICHAEL WALLACE (ATC) active?
Public NPPES data shows DREW MICHAEL WALLACE (ATC) with an active NPI status right now.
What type of care does DREW MICHAEL WALLACE (ATC) provide?
DREW MICHAEL WALLACE (ATC)'s profile centers on Athletic Trainer. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DREW MICHAEL WALLACE (ATC)?
DREW MICHAEL WALLACE (ATC) is associated with Poplar Grove, Illinois in the same public data insurers reference.
Who maintains DREW MICHAEL WALLACE (ATC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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