# ALLEGIS CARE-UTAH, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336406438
- **Authorized official:** MR. DIRK O WALES MD (CEO/OWNER)
- **Authorized official phone:** (615) 564-3511

## Contact information

- **Practice address:** 10808 SOUTH RIVER ROAD, SUITE 344, SOUTH JORDAN, UT 84095-6103
- **Practice address phone:** (773) 292-4800
- **Practice address fax:** (312) 564-4059
- **Mailing address:** 1340 S DAMEN AVE, SUITE 400, CHICAGO, IL 60608-1169
- **Mailing address phone:** (773) 292-4800
- **Mailing address fax:** (312) 564-4059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | UT | Yes |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 04/13/2012
- **Last updated:** 09/02/2015