Individual
DONNA M. WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4538 W 87TH ST, CHICAGO, IL 60652-3544
(312) 933-2618
Mailing address
9130 S LAFAYETTE AVE, CHICAGO, IL 60620-1405
(773) 600-6799
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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