ELIZABETH WADE

JACKSONVILLE, IL
NPI1164814711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209.012500)
Enumeration Date2015-02-19
Last Update Date2020-09-08
Business Address
ELIZABETH WADE NP
1600 W MORTON AVE
JACKSONVILLE, IL 62650-2718
Phone number: 217-528-7541
Mailing Address
ELIZABETH WADE NP
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 175-287-5412
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