MARILYN WRIGHT WADE CADC, MISA I
NPI 1194297564
Counselor - Addiction (Substance Use Disorder) in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since December 26, 2018

140 N ASHLAND AVE, CHICAGO, IL 60607(312) 633-4383 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Marilyn Wright Wade Cadc, Misa I NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARILYN WRIGHT WADE CADC, MISA I (NPI 1194297564) is an individual addiction (substance use disorder) provider in Chicago, Illinois, licensed in Illinois (30991) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1194297564

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMARILYN WRIGHT WADECredential: CADC, MISA I

Location Address140 N ASHLAND AVEChicago, IL 60607-1802

Mailing Address140 N Ashland AveChicago, IL 60607-1802 · (312) 633-4383

Phone(312) 633-4383

Sole ProprietorNo

Enumeration DateDecember 26, 2018

✔ NPI 1194297564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in IL · 30991

Also ListedCounselorTaxonomy 101Y00000X · License 3

140 N ASHLAND AVE, Chicago, IL 60607

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Other Identifiers 1

Medicaid1568509719IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GLORIA J MOUZON M.D.

Family Medicine (Addiction Medicine)