Individual
DR. JAMES P WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 W LINCOLN ST STE 200, BELLEVILLE, IL 62220-1902
(618) 213-7943
(618) 213-2137
Mailing address
311 W LINCOLN ST STE 200, BELLEVILLE, IL 62220-1902
(618) 213-7943
(618) 213-2137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036095025
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386640399
—
IL
Enumeration date
06/23/2005
Last updated
09/19/2024
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