Provider Demographics
NPI:1073107256
Name:WRIGHT, SADE (PA)
Entity type:Individual
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First Name:SADE
Middle Name:
Last Name:WRIGHT
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Gender:F
Credentials:PA
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Mailing Address - Street 1:35318 EAGLE WAY CHICAGO
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60678-1353
Mailing Address - Country:US
Mailing Address - Phone:317-528-4800
Mailing Address - Fax:317-865-1479
Practice Address - Street 1:3800 W 203RD ST STE 202
Practice Address - Street 2:
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1185
Practice Address - Country:US
Practice Address - Phone:708-852-2555
Practice Address - Fax:708-679-2223
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-27
Last Update Date:2024-07-01
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Provider Licenses
StateLicense IDTaxonomies
IL085008270363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant