Individual
MATTHEW WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE, BLDG-103 RM-3102, MAYWOOD, IL 60153-3328
(708) 216-4015
Mailing address
2160 S 1ST AVE, BLD. 103, RM. 3102, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125.066445
IL
Other
Enumeration date
03/24/2015
Last updated
01/26/2016
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