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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5906423 | 05 | |
| IL | 036050417 | 05 | |
| NC | BCBS OF NC | 144XN | 01 |
| Street Address |
109 N OAK PARK AVE APT 2 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60301-1362 |
| 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 |
| Find all providers in zip 60301 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| 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. |
| 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 | ||||
Please comment or provide details below to improve the information on CALVIN P WADLEY.
| 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.