Individual
BILLY WADE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W
Contact information
Practice address
5242 S HYDE PARK BLVD, APT. 711, CHICAGO, IL 60615-4245
(773) 324-2413
Mailing address
5242 S HYDE PARK BLVD, APT. 711, CHICAGO, IL 60615-4245
(773) 324-2413
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149013265
IL
Other
Enumeration date
10/30/2011
Last updated
10/30/2011
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