Individual
ELIZABETH WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1560 SHERMAN AVE, SUITE 400, EVANSTON, IL 60201-4818
(847) 869-1500
(847) 869-1515
Mailing address
1560 SHERMAN AVE, SUITE 400, EVANSTON, IL 60201-4818
(847) 869-1500
(847) 869-1515
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
056011176
IL
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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