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

Dr. Wade Carlson, MD

Individual provider Family Medicine Physician · NPI 1275557498

Dr. Wade Carlson, MD is a Family Practice in Peoria, Illinois. Qualified in 1997, 29 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
29
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5114 N Glen Park Place Rd
Peoria, IL 61614-4686
Phone: (309) 683-6600
Fax: (309) 683-2412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036101444 (IL)

Record details

NPI number1275557498
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESOctober 12, 2012
Mailing address5114 N Glen Park Place Rd, Peoria, IL 61614-4686

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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