Arquette C Wade, MMS, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085003025 Issued in IL

Practice address

7114 S Vincennes Ave
Chicago, IL 60621-3506

Phone

(773) 224-4800

NPI assigned

Nov 6, 2009

Last updated

Nov 6, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Physician Assistant

Practice roles

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

• Midwest Physicians Network Inc

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1851337729
  NPD (past)

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1710214069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7047 S CALUMET AVE",
            "address_2": "APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606374629",
            "telephone_number": "773-454-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 S VINCENNES AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213506",
            "telephone_number": "773-224-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "ARQUETTE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085003025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy Waddick, MS CCC SLP
• Shelbie Waddle, DO, MS, MS
• Annelise Nicole Waddoups, MD
• Wade Wellness, Inc.
• Andrew Wade, MB, BCH, BAO
• Billy Wade Jr., L.C.S.W
• Bonnie Wade, L.C.S.W.
• Brandy Wade, FNP-BC
• Donna M. Wade
• Elizabeth Wade, LMT

• Medical Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.