Lynnette Wade
Lynnette Wade is a Contractor in Burnham, Illinois. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
14527 S Calhoun AveBurnham, IL 60633-2207
Phone: (708) 980-3097
Fax: (708) 933-7138
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Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
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Record details
| NPI number | 1417321209 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 17, 2015 |
| Last updated in NPPES | November 17, 2015 |
| Mailing address | 14527 S Calhoun Ave, Burnham, IL 60633-2207 |