Wak S Chia, M.D

Individual provider Active NPI Pediatrics Physician · Wood River, IL

NPI 1831131101 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1831131101
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
Practice address
1702 Vaughn Rd
Wood River, IL 62095-1898
Phone
(618) 259-5100
Fax
(618) 259-3101
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036055783ILMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X IL Yes

Addresses

Primary practice location

1702 Vaughn Rd
Wood River, IL 62095-1898

Mailing address

1702 Vaughn Rd
Wood River, IL 62095-1898
Phone (618) 259-5100

Other providers in Wood River, IL

All providers in Wood River, IL · Pediatrics Physician in Illinois

Sources for this page

Verify at the official NPI Registry.