Dr Maranda Nicole Wyatt, DC - Chiropractor in Bloomington, IL

Dr Maranda Nicole Wyatt, DC is a Chiropractor based in Bloomington, Illinois. Dr Maranda Nicole Wyatt is licensed to practice in Illinois (license number 038.011334) and her current practice location is 2202 Eastland Dr, Suite B, Bloomington, Illinois. She can be reached at her office (for appointments etc.) via phone at (309) 303-0716.

NPI number for Dr Maranda Nicole Wyatt is 1073752689 and her current mailing address is 1821 County Road 2100 N, Washburn, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073752689.

Contact Information

Dr Maranda Nicole Wyatt, DC
2202 Eastland Dr, Suite B,
Bloomington, IL 61704-3585
(309) 303-0716
Not Available



Healthcare Provider's Profile

Full NameDr Maranda Nicole Wyatt
GenderFemale
SpecialityChiropractor
Location2202 Eastland Dr, Bloomington, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073752689
  • Provider Enumeration Date: 02/05/2009
  • Last Update Date: 02/05/2009

Medical Identifiers

Medical identifiers for Dr Maranda Nicole Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073752689NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 038.011334 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Maranda Nicole Wyatt is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Maranda Nicole Wyatt, DC
1821 County Road 2100 N,
Washburn, IL 61570-9324

Ph: (309) 303-0716
Dr Maranda Nicole Wyatt, DC
2202 Eastland Dr, Suite B,
Bloomington, IL 61704-3585

Ph: (309) 303-0716

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Chiropractor in Bloomington, IL

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Phone: 309-828-3415    Fax: 309-828-2665
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Phone: 309-661-2725    Fax: 309-661-2730
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Phone: 309-663-2423    Fax: 309-662-0223
Dr Joseph F Rogge Dc Ltd
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Practice Location: 2101 Eastland Dr, Suite E, Bloomington, IL 61704
Phone: 309-661-9123    Fax: 309-661-9010

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