Arquette C Wade MMS, PA-C

NPI 1710214069 - Physician Assistant - 363AM0700X

NPI Details
NPI 1710214069
Gender Female
Enumeration Date 11/06/2009
Last Updated 11/06/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
7114 S VINCENNES AVE
CHICAGO IL, 60621-3506, US
Phone (773) 224-4800
Fax
Business Location
7047 S CALUMET AVE
APT 1
CHICAGO IL, 60637-4629, US
Phone (773) 454-3174
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Illinois
License Number 085003025
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According to our database, Ms. Arquette C Wade MMS, PA-C NPI is 1710214069, taxonomy code is 363AM0700X and license number is 085003025, license state is located at Illinois. Arquette C Wade MMS, PA-C physically located at 7114 S Vincennes Ave, Chicago IL, 60621-3506. NPI Number Arquette C Wade MMS, PA-C has the Individual type.

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1710214069 NPI number is provided on an as is basis without warranty of any kind. 1710214069 is maintained by the National Plan & Provider Enumeration System. The contents of Arquette C Wade MMS, PA-C are for informational purposes only.