Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Joshua Daniel Wideman, DC

Individual provider Chiropractor · NPI 1578078838

Dr. Joshua Daniel Wideman, DC is a Chiropractor in Granite City, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2017.

Licensed in
IL, MO
In the registry since
2017
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

3986 Maryville Rd
Granite City, IL 62040-4191
Phone: (618) 797-0618
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 038.013405 (IL)
Chiropractor Taxonomy 111N00000X · Licence 2017014934 (MO)

Record details

NPI number1578078838
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedDecember 8, 2017
Last updated in NPPESFebruary 4, 2020
Certification dateFebruary 4, 2020
Mailing address3986 Maryville Rd, Granite City, IL 62040-4191

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