Lynnette Wade
Contractor · Burnham, IL
NPI number
1417321209
Practice location
14527 S Calhoun AveBurnham, IL 60633-2207
- Phone
- (708) 980-3097
- Fax
- (708) 933-7138
NPI record
- NPI
- 1417321209
- Entity type
- Individual (Type 1)
- Enumeration date
- November 17, 2015
- Last updated
- November 17, 2015
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
— | — |
About Lynnette Wade
Lynnette Wade is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 14527 S Calhoun Ave, Burnham, IL 60633-2207. The NPI number 1417321209 was assigned on November 17, 2015 and the record was last updated on November 17, 2015.
Frequently asked questions
What is the NPI number of Lynnette Wade?
The NPI number is 1417321209.
What is the phone number of Lynnette Wade?
The phone number listed for the practice location is (708) 980-3097.
Where is Lynnette Wade located?
14527 S Calhoun Ave, Burnham, IL 60633-2207.
What is the taxonomy code for Lynnette Wade?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.