NPI 1023483716

Jennifer Wade, LAC

Practitioner Acupuncturist Chicago, IL

Practice location

Address: 3817 N Pulaski Rd, Chicago, IL 60641-3141
Phone: (773) 234-0714
Mailing address: 7238 W Everell Ave, Chicago, IL 60631-1933

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 198.000974 (IL)

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Registry record

NPI: 1023483716
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2015
Record last updated: 17 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.