Individual
DR. CHRISTOPHER A WILDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2416 BLOOMER DR, ALTON, IL 62002-4809
(618) 433-8913
(618) 433-8915
Mailing address
2416 BLOOMER DR, ALTON, IL 62002-4809
(618) 433-8913
(618) 433-8915
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008175
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038008175
—
IL
01
—
10481T1
BCBS ALLIANCE
MO
01
—
116888
BLUE CORSS BLUE SHEILD MO
MO
01
—
325539
HEALTHLINK
IL
01
—
4404400
UNITED HEALTH CARE
IL
01
—
5718545
AEATNA HEALTHCARE
IL
01
—
6082010
BLUE CROSS BLUE SHEILD
IL
Enumeration date
06/23/2006
Last updated
03/25/2016
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