Dr. Kristopher Wade Wakefield
Chiropractor Radiology
448 Cole St
Bushnell
, Illinois 61422-1540
Dr. Kristopher Wade Wakefield
Chiropractor Radiology
448 Cole St
Bushnell
, Illinois 61422-1540
(309) 772-2317
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About
Features
Specialties
- Chiropractor
- Radiology
Languages spoken
- English
Location
First Address
- Dr. Kristopher Wade Wakefield
- 448 Cole St
- Bushnell, IL
- Zip : 61422-1540
- Fax : (309) 772-2317
- Phone : (309) 772-2317
Second Address
- Dr. Kristopher Wade Wakefield
- 448 Cole St
- Bushnell, IL
- Zip : 61422-1540
- Fax : (309) 772-2317
- Phone : (309) 772-2317
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | |
| N | 111NR0200X | Radiology | IL | |
| N | 213ER0200X | Radiology | IL |
National Provider Identifier
| NPI | 1154356285 |
|---|---|
| Provider Name | Dr. Kristopher Wade Wakefield |
| First Address | Bushnell, IL 61422-1540 |
| Second Address | Bushnell, IL 61422-1540 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 01/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5522061 | BC/BS NUMBER (01) | IL |
| U59837 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.