Blank, Candace R

Blank, Candace R is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave Department Of Audiology, Maywood IL 60153-3328. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Blank, Candace R can be contacted via phone (708) 216-3821.

Contact Information

Primary practice address
2160 S 1St Ave Department Of Audiology Maywood IL 60153-3328
Phone: (708) 216-3821
Fax: (708) 216-2137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147000175 Illinois

Profile Details

NPI number 1194056564
LBN Legal business name Blank, Candace R
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2010
Last updated Apr 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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