Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Wallace L Vinson , RSA

Specialist β€’ Bolingbrook, IL

Active NPI 1235360959 Individual Practitioner Male Practitioner
Practice location in NPPES

260 S Schmidt Rd Ste G
Bolingbrook, IL 604403087

Call 6307547760 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

260 S Schmidt Rd Ste G

Bolingbrook, IL 604403087

Telephone 6307547760
Fax 6307547761
Organization at the Same NPPES Address or Phone
Epic Surgical Solutions Llc Facility NPI 1598002735

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bolingbrook and Illinois

6 active clinicians are listed under Specialist with a practice address in Bolingbrook, IL (1,149 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-06
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

License # reported to NPPES IL 238000232

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist/Technologist, Other - Surgical Technologist

NUCC Taxonomy Code: 246ZS0410X

Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location November 20, 2019

Registered at 260 S SCHMIDT RD STE G, BOLINGBROOK, IL 604403087 (Tel: 6307547760)

πŸ“
Updated Business Mailing Address November 20, 2019

Registered at 260 S SCHMIDT RD STE G, BOLINGBROOK, IL 604403087 (Tel: 6307547760)

πŸ“
Updated Practice Location October 30, 2018

Registered at 504 MAIN ST, MARSEILLES, IL 613411419 (Tel: 8155133654)

πŸ“
Updated Business Mailing Address October 30, 2018

Registered at 504 MAIN ST, MARSEILLES, IL 613411419 (Tel: 8155133654)

βœ…
NPI Profile Active January 07, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 07, 2013

Registered at 2111 ALLEGRE CIR, UNIT 308, NAPERVILLE, IL 605632399 (Tel: 9312151574)

πŸ“
Business Mailing Address (Initial Record) January 07, 2013

Registered at PO BOX 1416, BOLINGBROOK, IL 604400802 (Tel: 9312151574)

πŸ‘€
Provider Name / Credentials (Initial Record) January 07, 2013

Recorded as WALLACE VINSON, RSA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2013

Specialist (license number reported to NPPES: IL 238000232)

🟒
Initial NPI Registration & Enumeration July 29, 2009

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1235360959
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2009
Last Update: October 06, 2023
Sole Proprietor: No

Mailing Address

260 S Schmidt Rd Ste G

Bolingbrook, IL 604403087

Phone: 6307547760

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.