Jennifer Wade, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198.000974 Issued in IL

Practice address

3817 N Pulaski Rd
Chicago, IL 60641-3141

Phone

(773) 234-0714

NPI assigned

Dec 6, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wade Wellness, Inc.

  • Acupuncturist
  • Chicago, IL
  • NPI 1992361919
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1023483716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7238 W EVERELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311933",
            "telephone_number": "773-406-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413141",
            "telephone_number": "773-234-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JENNIFER",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-06",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Wade, FNP-BC
• Donna M. Wade
• Elizabeth Wade, LMT
• Erica Wade
• Erica D Wade, PH.D., LCPC, ACS
• Marilyn Wright Wade, CADC, MISA I
• Natalie Wade
• Tremell Wade
• Vanessa Wade, DPT
• Cynthia Jean Waderlow, MSE,LCSW

• Acupuncturist in Chicago, IL
• Providers in Chicago, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.