Search › Illinois › 1041C0700X
Chea Wyatt
NPI 1235590100 · on the registry since 2016 · sole proprietor
Practice
- Address
- 112 Chevy Chase Dr
Belleville, IL 62223 - Phone
- (618) 960-8167
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois