MS. ARQUETTE C WADE MMS PA-C NPI 1710214069

NPI Information

NPI: 1710214069
Provider Name: MS. ARQUETTE C WADE, MMS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
7114 S VINCENNES AVE
CHICAGO, IL
ZIP 60621
Phone: (773) 224-4800
Get Directions

MS. Arquette C Wade, MMS, PA-C is a medical physician assistant in Chicago, IL. MS. Arquette C Wade, MMS, PA-C NPI is 1710214069. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7114 S VINCENNES AVE
CHICAGO, IL
ZIP 60621-506
Phone: (773) 224-4800

The enumeration date for this NPI number is 11/6/2009 and was last updated on 11/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	085003025	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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