Whalio Doctors

NPI 1023290681

Terence Edward Wade, MD

Practitioner Diagnostic Radiology Physician Springfield, IL

Practice location

Address
800 E Carpenter St, Springfield, IL 62769-5250
Phone
(217) 544-6464
Mailing address
111 Oakwood Rd, East Peoria, IL 61611-1853

Registered specialties (2)

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 036-14268 (IL)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 01064595A (IN)

Registry record

NPI
1023290681
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Dec 2007
Record last updated
30 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.