Individual
JAMES WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4405 WEAVER PARKWAY, WARRENVILLE, IL 60555
(630) 352-5450
Mailing address
4405 WEAVER PARKWAY, WARRENVILLE, IL 60555-3269
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
240905
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036144128
IL
Other
Enumeration date
05/26/2009
Last updated
08/28/2018
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