Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WAYNE KENNETH MANNESS, MD
ActiveDR. WAYNE KENNETH MANNESS, MD is a Diagnostic Radiology healthcare provider located in PEORIA, Illinois. NPI 1710936497 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · PEORIA, IL
Registration Details
- NPI Number
- 1710936497
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2006 (20.240997896817 yrs)
- Last Updated
- Mar 19, 2024
- Licenses
-
0101242387 (VA)35.091090 (OH)D00661190 (MD)25MA06727700 (NJ)MD057715L (PA)
Practice Information
- Address
-
530 NE GLEN OAK AVEPEORIA, IL, 616370914Browse IL providers · Browse ZIP 61637
- Phone
- 3096552000
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. CLARISSA RHODE | MD | 1326026030 |
| KATHLEEN JOHNSON | — | 1831177559 |
| STEVEN ROAT | — | 1215915962 |
| DR. GEORGE GENTRY | MD | 1225016975 |
| DR. ERIC A VENS | M.D. | 1558329706 |
| DR. DAVID H NATHAN | M.D. | 1831140607 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.