Steven Duane Wild in Colona - Chiropractor
Steven Duane Wild - NPI 1851458905
Steven Duane Wild is a Chiropractor in Colona, Illinois. Steven Duane Wild practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Steven Duane Wild is 1851458905. The last update date is 2007-07-08.
Steven Duane Wild's current location address is 532 Green Park Ave, Colona, Illinois. You can contact this provider via phone number 3097921790. The mailing address for Steven Duane Wild is 532 Green Park Ave, Colona, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Duane Wild |
|---|---|
| Address | 532 Green Park Ave, Colona, Illinois |
| Phone Number | 3097921790 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1851458905 |
|---|---|
| Provider Enumeration Date | 2007-01-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 532 Green Park Ave |
|---|---|
| City | Colona |
| State | Illinois (IL) |
| Post Code | 612419633 |
| Phone Number | 3097921790 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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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 inte |
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What is the unique 10-digit identification code issued to Steven Duane Wild by the Centers for Medicare & Medicaid Services?
The Steven Duane Wild has been assigned the NPI (National Provider Identifier) 1851458905 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Steven Duane Wild?
The Steven Duane Wild is physically situated at 532 Green Park Ave, in the city of Colona, state of IL, with the postal code 612419633.
What is Steven Duane Wild's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Steven Duane Wild is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851458905 to Steven Duane Wild?
The Centers for Medicare & Medicaid Services assigned the 1851458905 to Steven Duane Wild on 2007-01-01.
As of what date were the details related to Steven Duane Wild most recently updated or revised?
The information pertaining to Steven Duane Wild, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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