MATTHEW WADE

MAYWOOD, IL
NPI1699169003
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  125.066445)
Enumeration Date2015-03-24
Last Update Date2016-01-26
Business Address
-- MATTHEW WADE
2160 S 1ST AVE BLDG-103 RM-3102
MAYWOOD, IL 60153-3328
Phone number: 708-216-4015
Mailing Address
-- MATTHEW WADE
2160 S 1ST AVE BLD. 103, RM. 3102
MAYWOOD, IL 60153-3328
Phone number: