Candido, Kenneth

Candido, Kenneth is an sole proprietor health care provider with primary practice located at 836 W Wellington Ave Suite 4815, Chicago IL 60657-5147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Candido, Kenneth can be contacted via phone (773) 296-7934.

Contact Information

Primary practice address
836 W Wellington Ave Suite 4815 Chicago IL 60657-5147
Phone: (773) 296-7934
Fax: (773) 296-5088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 36075131 Illinois

Profile Details

NPI number 1518937937
LBN Legal business name Candido, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Jun 12th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518937937 NPPES
Illinois MEDICAID 036075131

Popular Providers