Wade, Tanya A
Wade, Tanya A is an sole proprietor health care provider with primary practice located at 1158 1/2 S Oak Park Ave #1, Oak Park IL 60304-2610. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wade, Tanya A can be contacted via phone (708) 524-1921.Contact Information
Primary practice address
1158 1/2 S Oak Park Ave #1
Oak Park IL 60304-2610
Phone: (708) 524-1921
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149011693 | Illinois |
Profile Details
| NPI number | 1134460819 |
|---|---|
| LBN Legal business name | Wade, Tanya A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2013 |
| Last updated | Mar 6th, 2013 - about 13 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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