CALVIN P WADLEY


Address: 109 N Oak Park Ave Apt 2, Oak Park, IL 60301-1362
Phone: 7085248904

CALVIN P WADLEY (NPI# 1831116433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831116433
Entity Type Individual
Full Name CALVIN P WADLEY
Credential M.D., FACEP
Practice Address 109 N Oak Park Ave Apt 2
Oak Park
IL 60301-1362
Practice Telephone 7085248904
Practice Fax Number 7085248907
Mailing Telephone 7085248904
Mailing Fax Number 7085248907
Enumeration Date 2006-07-17
Last Update Date 2008-12-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 200600526 NC Allopathic & Osteopathic Physicians
N 207P00000X Emergency Medicine 20748 MN Allopathic & Osteopathic Physicians
Y 207P00000X Emergency Medicine 036-050417 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 5906423 05
IL 036050417 05
NC BCBS OF NC 144XN 01

Office Location

Street Address 109 N OAK PARK AVE APT 2
City OAK PARK
State IL
Zip Code 60301-1362

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457982332 Heather Lea Corwin Counselor Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 2020-01-30
1194244400 Kristin Burns Mind and Body Clinic/Center 715 Lake St Ste 703, Oak Park, IL 60301 2017-09-18
1538686357 Highland Park Cvs LLC Durable Medical Equipment & Medical Supplies 1129 Lake St., Oak Park, IL 60301 2017-08-23
1851835888 Wanda Secthecia Presley Nurse's Aide 1140 South Lake Street, Oak Park, IL 60301 2016-12-09
1477914323 Naomi Elise Heinz Occupational Therapist 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 2016-03-18
1316339518 Christina Shrader Counselor 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 2015-02-24
1356755334 Grief Recovery Group, Inc Social Worker 1010 Lake Street, Suite 620, Oak Park, IL 60301 2014-06-17
1700137239 Christine Marie Hare Nurse Practitioner 1100 Lake St Ste 120, Oak Park, IL 60301 2012-09-24
1427334622 Ina N. Owens Social Worker 137 N. Oak Park Ave, Oak Park, IL 60301 2011-11-01
1265720130 Debora S Crowley Occupational Therapist 820 North Blvd., Oak Park, IL 60301 2011-07-13
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376919076 Lori Dagan Emergency Medicine 5440 Wembly Ave, Oak Park, CA 91377-4735 2015-08-17
1053454926 Tedjitou Martin Emergency Medicine 6436 Roosevelt Rd, 307, Oak Park, IL 60304-2163 2007-02-14
1215938857 David Manno Emergency Medicine 1100 Lake St Ste 125b, Oak Park, IL 60301-1015 2005-08-04
1609876077 Paula B Green Emergency Medicine 3 Erie Ct, Oak Park, IL 60302-2519 2005-07-28
1770196461 United Urgent Care Group Emergency Medicine 25900 Greenfield Rd Ste 140, Oak Park, MI 48237-1267 2020-08-24
1962067165 Alteon Health Illinois, Pllc Emergency Medicine 3 Erie Ct, Oak Park, IL 60302-2519 2019-05-03
1083148464 Katrina Weimer Emergency Medicine 14 Lake St, Oak Park, IL 60302-2606 2017-04-12
1639616543 Samantha Berman Emergency Medicine 520 S Maple Ave, Oak Park, IL 60304-1022 2017-01-30
1407206188 Joshua James Faucher Emergency Medicine 520 S Maple Ave, Oak Park, IL 60304-1022 2016-06-14
1528446523 Julie Littwin Emergency Medicine 520 S Maple Ave, Oak Park, IL 60304 2015-05-11
Find all providers in OAK PARK

Competitor

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City OAK PARK
Zip Code 60301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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