Individual
DR. ALICIA MARIE WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
13900 QUALITY DRIVE, HUNTLEY, IL 60142
(847) 961-7800
Mailing address
25712 SKYLINE CT S, PLAINFIELD, IL 60585
(815) 762-3391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.103053
IL
Other
Enumeration date
04/08/2014
Last updated
07/21/2022
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