Search › Illinois › 111N00000X
Kim Wickwire, D.C
NPI 1871641993 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3706 N Faber Ave
Peoria Heights, IL 61616 - Phone
- (309) 685-6910
- Fax
- (309) 685-7313
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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