DR. CHAD CHRISTIAN WYATT D.C.
NPI 1326287939
Chiropractor in Bloomington, IL

Active since February 05, 2009
2202 EASTLAND DR, SUITE B, BLOOMINGTON, IL 61704(870) 822-0218 Get Directions Write a Review

NPPES record last updated: February 5, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Chad Christian Wyatt D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHAD CHRISTIAN WYATT D.C. (NPI 1326287939) is an individual chiropractor in Bloomington, Illinois, licensed in Illinois (03801136) and active in the NPI registry since February 2009. He is a graduate of Logan College Of Chiropractic (2008).

NPPES Registry Identity

NPI1326287939
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CHAD CHRISTIAN WYATTCredential: D.C.
Location Address2202 EASTLAND DR, SUITE BBloomington, IL 61704-3585
Mailing Address1821 County Road 2100 NWashburn, IL 61570-9324 · (870) 822-0218
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2008
Enumeration DateFebruary 5, 2009
NPI 1326287939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 03801136
Definition

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.

2202 EASTLAND DR, Bloomington, IL 61704

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Chad Christian Wyatt D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426106865
PECOS Enrollment IDI20090423000377

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2202 EASTLAND DR, SUITE B
BLOOMINGTON, IL 61704
Chiropractor
2202 EASTLAND DR, SUITE B
BLOOMINGTON, IL 61704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chad Wyatt's NPI number?

The NPI number for Chad Wyatt is 1326287939. It was assigned to this individual provider in the NPPES registry on February 5, 2009.

Where is Chad Wyatt located?

Chad Wyatt practices at 2202 Eastland Dr Suite B, Bloomington, IL 61704. The listed phone number is (870) 822-0218.

What is Chad Wyatt's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Chad Wyatt enrolled in Medicare?

Yes. Chad Wyatt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chad Wyatt was last updated on February 5, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.