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Contact Information

VIRGINIA A WADE, MD
600 E COUNTY ROAD 300 N
ARCOLA, IL61910
 Phone: 217-268-5008
 Fax: 217-268-5010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VIRGINIA A WADE · (Female)

NPI # 1720012024
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 05/31/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036.061619
Hospital affiliation(s)
  • SARAH BUSH LINCOLN HEALTH CENTER - (Acute Care)
    1000 HEALTH CENTER DRIVE P O BOX 372
    MATTOON, IL 61938
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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