Individual provider · NPI-1
James Wade, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Warrenville, IL
NPI number1649405341
StatusActive
Last updated in NPPESAug 28, 2018
Details
- NPI
- 1649405341
- Entity type
- Individual (NPI-1)
- Name
- James Wade
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 26, 2009
- Last updated
- Aug 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 036144128 | IL | Yes |
| 208600000X | Surgery | 240905 | MA |
Practice location
4405 Weaver ParkwayWarrenville, IL 60555
Phone 630-352-5450
Mailing address
4405 Weaver ParkwayWarrenville, IL 60555-3269
Other practice locations
25 N Winfield Rd
Winfield, IL 60190-1295
Winfield, IL 60190-1295
Phone 630-352-5450
304 Randall Rd
Geneva, IL 60134-4220
Geneva, IL 60134-4220
Phone 630-352-5450
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