Individual
DIANE ELIZABETH WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13905 GRISHAM DR, CARMEL, IN 46033-0026
(630) 310-2118
Mailing address
13905 GRISHAM DR, CARMEL, IN 46033-0026
(630) 268-1102
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01091007A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
036061857
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061857
—
IL
01
—
060043700
RAILROAD MEDICARE
—
Enumeration date
05/17/2006
Last updated
02/09/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us