Individual provider · Type 1 NPI
Shane Michael Wade, DC
Chiropractor · Oswego, IL
NPI number
1821204223
Active
Practice location
73 W Van Buren St
Oswego, IL 60543-7213
Mailing address
628 Salem Cir
Oswego, IL 60543-8665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 38010945 (IL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1821204223
Shane Michael Wade, DC's National Provider Identifier is 1821204223, issued on May 15, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Oswego, IL. The record was last updated on Oct 20, 2026.