Wade Wellness, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

WADE WELLNESS, INC.

Practice address

3817 N Pulaski Rd
Chicago, IL 60641-3141

Phone

(773) 406-2091

Fax

(312) 971-1973

NPI assigned

May 15, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer Wade, L.AC.NPI 1023483716

Title

Owner/Acupuncturist

Phone

(773) 406-2091

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Wade, L.AC.

  • Acupuncturist
  • Chicago, IL
  • NPI 1023483716
  NPD Authorized official

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1992361919",
    "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": "773-406-2091",
            "fax_number": "312-971-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "773-406-2091",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Waddell, OTR/L
• Torri Waddell
• Mandy Waddick, MS CCC SLP
• Shelbie Waddle, DO, MS, MS
• Annelise Nicole Waddoups, MD
• Andrew Wade, MB, BCH, BAO
• Arquette C Wade, MMS, PA-C
• Billy Wade Jr., L.C.S.W
• Bonnie Wade, L.C.S.W.
• Brandy Wade, FNP-BC

• 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.