SearchIllinois101YM0800X

Alicia Wade

NPI 1750897997 · on the registry since 2017

Practice

Address
420 W Grand Ave
Lake Villa, IL 60031
Phone
(847) 356-3322
Clinicians at this address
14

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-12-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois