Wade, Alicia

Wade, Alicia is an individual health care provider with primary practice located at 420 W Grand Ave , Lake Villa IL 60031. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wade, Alicia can be contacted via phone (847) 356-3322.

Contact Information

Primary practice address
420 W Grand Ave Lake Villa IL 60031
Phone: (847) 356-3322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 149019700 Illinois

Profile Details

NPI number 1750897997
LBN Legal business name Wade, Alicia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2017
Last updated Dec 26th, 2017 - about 7 years ago

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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