person
Dr. Wade Carlson, MD
Family Medicine Physician in Peoria, Illinois
NPI 1275557498

Wade Carlson is a Family Medicine Physician based in Peoria, IL. Wade Carlson practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Wade Carlson is 1275557498 and holds a License No. 036101444 (Illinois).

The current practice location address for Wade Carlson is 5114 N Glen Park Place Rd, Peoria, IL and can be reached out via phone at 309-683-6600 and via fax at 309-683-2412.

Location: 5114 N Glen Park Place Rd, Peoria, IL, 61614-4686
person
Provider Profile Details
NPI Number
1275557498
Provider Name
Wade Carlson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5114 N Glen Park Place Rd, Peoria, IL, 61614-4686
Phone Number
309-683-6600
Fax Number
309-683-2412
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IL01R8 01 IL JOHN DEERE
0361014441 05 IL
472307 01 IL HEALTHLINK
P00187651 01 IL RAILROAD MEDICARE
095222 01 IL HEALTH ALLIANCE
7215059 01 IL BCBS PPO
institution
Provider Business Practice Location Address Details
Address
5114 N Glen Park Place Rd
City
State
Zip
61614-4686
Phone Number
309-683-6600
Fax Number
309-683-2412
person
Provider Business Mailing Address Details
Address
5114 N Glen Park Place Rd
City
State
Zip
61614-4686
Phone Number
309-683-6600
Fax Number
309-683-2412
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
036101444 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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