Ailene Ally Elizabeth Wade, PA

NPI #1942082821 in Frankfort, Illinois

Provider Information

NPI Number
1942082821
Entity Type
Individual
Name
Ailene Ally Elizabeth Wade, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Oct 16, 2023
Last Updated
May 21, 2024

Practice Location

Address
10209 W LINCOLN HWY
ZIP Code
60423-1279
Phone
(708) 998-2979

Specialties & Taxonomy Codes

Specialty
Physician Assistant

Additional Practice Locations

111 Medical Dr

Lagrange, GA, 30240-4157

(706) 812-2426

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