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Dr. Mark W. Wade, DC
Chiropractor in Carlinville, Illinois
NPI 1972553410

Mark W. Wade is a Chiropractor based in Carlinville, IL. Mark W. Wade practices in Carlinville, IL and has the professional credentials of DC. The NPI Number for Mark W. Wade is 1972553410 and holds a License No. (Illinois).

The current practice location address for Mark W. Wade is 295 N Broad St, Carlinville, IL and can be reached out via phone at 217-854-8211 and via fax at 217-854-3636.

Location: 295 N Broad St, Carlinville, IL, 62626-1301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972553410
Provider Name
Mark W. Wade
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
295 N Broad St, Carlinville, IL, 62626-1301
Phone Number
217-854-8211
Fax Number
217-854-3636
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0005982011 01 IL BLUECROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
295 N Broad St
City
Carlinville
State
Illinois
Zip
62626-1301
Phone Number
217-854-8211
Fax Number
217-854-3636
person
Provider Business Mailing Address Details
Address
295 N Broad St
City
Carlinville
State
Illinois
Zip
62626-1301
Phone Number
217-854-8211
Fax Number
217-854-3636
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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