Individual
MARIE A WADAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 E BRUSH HILL RD, SUITE 202, ELMHURST, IL 60126-5658
(630) 782-4050
Mailing address
1901 S MEYERS RD, SUITE 350, OAKBROOK TERRACE, IL 60181-5243
(630) 873-7305
(630) 416-3189
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036085624
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085624
—
IL
01
—
060046174
RAILROAD MEDICARE
—
Enumeration date
05/20/2006
Last updated
04/26/2012
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