DR. Shane Michael Wade, D.C.

NPI #1821204223 in Oswego, Illinois

Provider Information

NPI Number: 1821204223
Entity Type: Individual
Name: DR. Shane Michael Wade, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: May 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 73 W VAN BUREN ST
City: Oswego
State: Illinois
ZIP Code: 60543-7213
Phone: (630) 450-5006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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