Individual
ELAINE LEE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 PFINGSTEN RD, KELLOGG CANCER CARE CENTER, GLENVIEW, IL 60026-1301
(847) 657-5826
(847) 832-6183
Mailing address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201
(847) 570-1206
(847) 570-1248
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
036084287
IL
207RX0202X
Medical Oncology Physician
Primary
036084287
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084287
—
IL
Enumeration date
05/31/2006
Last updated
11/19/2024
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