Wadley, Calvin P

Wadley, Calvin P is an individual health care provider with primary practice located at 109 N Oak Park Ave Apt 2 , Oak Park IL 60301-1362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wadley, Calvin P can be contacted via phone (708) 524-8904.

Contact Information

Primary practice address
109 N Oak Park Ave Apt 2 Oak Park IL 60301-1362
Phone: (708) 524-8904
Fax: (708) 524-8907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-050417 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20748 Minnesota
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 200600526 North Carolina

Profile Details

NPI number 1831116433
LBN Legal business name Wadley, Calvin P
Credentials M.D., FACEP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Dec 12th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831116433 NPPES
Illinois MEDICAID 036050417
Illinois Other 144XN
Illinois MEDICAID 5906423

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