Individual
JOSHUA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
101 E MILLER RD, STERLING, IL 61081-1252
(815) 625-4790
Mailing address
101 E MILLER RD, STERLING, IL 61081-1252
(815) 625-4790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098068
HEALTH ALLIANCE PLAN
IL
01
—
P00161840
RAILROAD MEDICARE
—
Enumeration date
10/16/2006
Last updated
12/11/2007
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