Individual provider · Type 1 NPI

Wayne Kenneth Manness, MD

Diagnostic Radiology Physician · Peoria, IL

NPI number 1710936497 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0914

Call (309) 655-2000 Map

Mailing address

111 Oakwood Rd
East Peoria, IL 61611-1853

Other practice locations

  • 1709 Jumer Dr, Suite B, Bloomington, IL 61704-0914 · (309) 665-0640

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X0101242387 (VA)
Diagnostic Radiology Physician 2085R0202X35.091090 (OH)
Diagnostic Radiology Physician 2085R0202XD00661190 (MD)
Diagnostic Radiology Physician 2085R0202X25MA06727700 (NJ)
Diagnostic Radiology Physician 2085R0202XMD057715L (PA)
Diagnostic Radiology Physician Primary 2085R0202X036-099816 (IL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1710936497

Wayne Kenneth Manness, MD's National Provider Identifier is 1710936497, issued on May 9, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Peoria, IL. The record was last updated on Mar 19, 2024.