Individual
JAMES L WADE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 W. MCKINLEY AVE, STE 1, DECATUR, IL 62526
(217) 876-6600
(217) 876-6606
Mailing address
PO BOX 25228, DECATUR, IL 62525-5228
(217) 877-9442
(217) 233-1670
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
036059192
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059192
—
IL
Enumeration date
03/16/2006
Last updated
02/26/2014
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