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:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518937937 | NPPES |
| Illinois | MEDICAID | 036075131 |
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