Shane M Wade (NPI# 1821204223, PAC ID# 3476653734) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1821204223 |
| PAC ID by PECOS | 3476653734 |
| Professional Enrollment ID | I20070716000425 |
| Full Name | Shane M Wade |
| Address |
57 W Van Buren St Oswego IL 60543-7217 |
| Gender | M |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2006 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 57 W Van Buren St, Oswego, IL 60543-7217 |
| Street Address |
57 W VAN BUREN ST |
| City | OSWEGO |
| State | IL |
| Zip | 60543-7217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravinderpal S Nandra | Internal Medicine | Nandra Family Practice, Ltd. | 1041 Station Dr, Oswego, IL 60543-5007 |
| Mukhtar S Nandra | General Practice | Nandra Family Practice, Ltd. | 1041 Station Dr, Oswego, IL 60543-5007 |
| Kristen A Accardo | Chiropractic | Balanced Body Chiropractic, LLC | 1231 Farmington Lakes Dr, Suite 101, Oswego, IL 60543-5131 |
| Catherine Chu | Family Medicine | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Heidi A Solache | Clinical Social Worker | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Mark E Peterson | Internal Medicine | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Stephanie R Parks | Physical Therapy | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Peter T Rasmussen | Physical Therapy | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Marie E Garcia | Physical Therapy | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Raquel T Robles | Obstetrics/gynecology | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Find all physicians in zip 60543 | |||
| City | OSWEGO |
| Zip Code | 60543 |
| Specialty | CHIROPRACTIC |
| City + Specialty | OSWEGO + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.