Wade, Ailene Ally Elizabeth
Wade, Ailene Ally Elizabeth is an individual health care provider with primary practice located at 10209 W Lincoln Hwy , Frankfort IL 60423-1279. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wade, Ailene Ally Elizabeth can be contacted via phone (708) 998-2979.Contact Information
Primary practice address
10209 W Lincoln Hwy
Frankfort IL 60423-1279
Phone: (708) 998-2979
Fax: (708) 273-5531
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 12087 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085.010429 | Illinois |
Profile Details
NPI number | 1942082821 |
---|---|
LBN Legal business name | Wade, Ailene Ally Elizabeth |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 16th, 2023 |
Last updated | May 21st, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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