Wade, Marilyn Wright

Wade, Marilyn Wright is an individual health care provider with primary practice located at 140 N Ashland Ave , Chicago IL 60607-1802. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Wade, Marilyn Wright can be contacted via phone (312) 633-4383.

Contact Information

Primary practice address
140 N Ashland Ave Chicago IL 60607-1802
Phone: (312) 633-4383
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 30991 Illinois

Profile Details

NPI number 1194297564
LBN Legal business name Wade, Marilyn Wright
Credentials CADC, MISA I
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2018
Last updated Dec 26th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194297564 NPPES
Illinois MEDICAID 1568509719

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