LYNNETTE WADE

Contractor

Active Individual
NPI: 1417321209

Practice Address

14527 S CALHOUN AVE
Burnham, IL 60633

Phone: (708) 980-3097

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1417321209 is the National Provider Identifier for LYNNETTE WADE, a Contractor provider located in Burnham, IL. This NPI was enumerated on November 17, 2015.
LYNNETTE WADE practices at 14527 S CALHOUN AVE, Burnham, IL 60633.

Quick Facts

NPI
1417321209
Type
Individual
Enumerated
Nov 17, 2015
Last Updated
Nov 17, 2015

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