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LYNNETTE WADE NPI 1417321209


NPI Information

NPI: 1417321209
Provider Name: LYNNETTE WADE
Classification: Contractor - 171W00000X
Entity Type: Individual
Address:
14527 S CALHOUN AVE
BURNHAM, IL
ZIP 60633
Phone: (708) 980-3097
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Lynnette Wade is a contractor in Burnham, IL. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). Lynnette Wade NPI is 1417321209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14527 S CALHOUN AVE
BURNHAM, IL
ZIP 60633-207
Phone: (708) 980-3097
Fax: (708) 933-7138

The enumeration date for this NPI number is 11/17/2015 and was last updated on 11/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171W00000XContractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.