Chris Wade is a Physician Assistant in Morton, Illinois. Chris Wade practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Chris Wade is 1568425924. The last update date is 2021-10-20.
Chris Wade's current location address is 370 E Courtland St, Morton, Illinois. You can contact this provider via phone number 3092910899 and fax number 3092910927. The mailing address for Chris Wade is 370 E Courtland St, Morton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chris Wade |
|---|---|
| Address | 370 E Courtland St, Morton, Illinois |
| Phone Number | 3092910899 |
| Fax Number | 3092910927 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1568425924 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2021-10-20 |
Provider Mailing Address Detail
| Address | 370 E Courtland St |
|---|---|
| City | Morton |
| State | Illinois (IL) |
| Post Code | 615509054 |
| Phone Number | 3092910899 |
| Fax Number | 3092910927 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85001605 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00386420 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
Can you provide the Chris Wade's physical address?
The Chris Wade is physically located at 370 E Courtland St, in the city of Morton, IL, with the postal code 615509054.
What is the Chris Wade's area of specialization and corresponding taxonomy classification?
The Chris Wade's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
What is Chris Wade's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Chris Wade is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Chris Wade receive its 1568425924 assignment from the Centers for Medicare & Medicaid Services?
The Chris Wade was assigned its 1568425924 by the Centers for Medicare & Medicaid Services on 2006-04-07.
As of what date were the Chris Wade's details last updated?
The information pertaining to the Chris Wade, including its address, specialty, and other details, was most recently updated on 2021-10-20.