Whalio Doctors

NPI 1093224768

Molly Claire Wade, PA

Practitioner Physician Assistant Belleville, IL

Practice location

Address
4600 Memorial Dr STE 120, Belleville, IL 62226
Phone
(618) 222-1020
Mailing address
4600 Memorial Dr STE 120, Belleville, IL 62226-5359

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085006338
Surgical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 085006338 (IL)

Registry record

NPI
1093224768
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Sep 2017
Record last updated
21 Jul 2022

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.