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DR. JOSHUA DANIEL WIDEMAN DC
NPI 1578078838
Chiropractor in Granite City, IL

Active since December 08, 2017
3986 MARYVILLE RD, GRANITE CITY, IL 62040(618) 797-0618 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2020, Dec 8, 2017 (2 updates tracked since 2017).

About Dr. Joshua Daniel Wideman Dc NPPES

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

DR. JOSHUA DANIEL WIDEMAN DC (NPI 1578078838) is an individual chiropractor in Granite City, Illinois, licensed in Illinois (038.013405) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1578078838
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JOSHUA DANIEL WIDEMANCredential: DC
Location Address3986 MARYVILLE RDGranite City, IL 62040-4191
Mailing Address3986 Maryville RdGranite City, IL 62040-4191 · (618) 797-0618
Phone(618) 797-0618
Sole ProprietorNo
Enumeration DateDecember 8, 2017
Last NPPES UpdateFebruary 4, 20202 updates tracked since enumeration
✔ NPI 1578078838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in IL · 038.013405✔ Licensed in MO · 2017014934
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.
3986 MARYVILLE RD, Granite City, IL 62040
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Other Providers at the Same Location NPPES 8

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

ROSS TYLER DC
Chiropractor
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
DR. DAVID L PRIEBE M.D.
Family Medicine (Sports Medicine)
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
JONATHON D BROOKS D.C.
Chiropractor
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
DR. MARK EAVENSON DC
Chiropractor
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
REGENERATION ORTHOPEDICS, LLC
Anesthesiology (Pain Medicine)
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (636) 536-7000
COREY VOSS PT
Physical Therapist
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
AMANDA JUNE BASHAM FNP -BC
Nurse Practitioner
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618
MULTI-CARE SPECIALISTS SC
Family Medicine
3986 MARYVILLE RD
GRANITE CITY, IL 62040
Madison County (618) 797-0618

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 Joshua Wideman's NPI number?

The NPI number for Joshua Wideman is 1578078838. It was assigned to this individual provider in the NPPES registry on December 8, 2017.

Where is Joshua Wideman located?

Joshua Wideman practices at 3986 Maryville Rd, Granite City, IL 62040. The listed phone number is (618) 797-0618.

What is Joshua Wideman's specialty?

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

When was this NPI record last updated?

The NPPES record for Joshua Wideman was last updated on February 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.