Elaine Lee Wade
Medical Oncology
2100 Pfingsten Rd Kellogg Cancer Care Center
Glenview
, Illinois 60026-1301
Elaine Lee Wade
Medical Oncology
2100 Pfingsten Rd Kellogg Cancer Care Center
Glenview
, Illinois 60026-1301
(847) 570-1248
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Elaine Lee Wade
- 2650 Ridge Ave Evanston Hospital
- Evanston, IL
- Zip : 60201
- Fax : (847) 570-1248
- Phone : (847) 570-1206
Second Address
- Elaine Lee Wade
- 2100 Pfingsten Rd Kellogg Cancer Care Center
- Glenview, IL
- Zip : 60026-1301
- Fax : (847) 832-6183
- Phone : (847) 657-5826
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | 036084287 | IL |
National Provider Identifier
| NPI | 1093752990 |
|---|---|
| Provider Name | Elaine Lee Wade |
| First Address | Evanston, IL 60201 |
| Second Address | Glenview, IL 60026-1301 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2006 |
| Last Update Date | 10/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036084287 | (05) | IL |
| G16473 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.