Gibson, Candace Michelle

Gibson, Candace Michelle is an individual health care provider with primary practice located at 4711 Golf Rd Suite 1250, Skokie IL 60076-1224. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Gibson, Candace Michelle can be contacted via phone (773) 412-6326.

Contact Information

Primary practice address
4711 Golf Rd Suite 1250 Skokie IL 60076-1224
Phone: (773) 412-6326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041.351274 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209011870 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209011870 Illinois

Profile Details

NPI number 1578978250
LBN Legal business name Gibson, Candace Michelle
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2014
Last updated May 1st, 2017 - about 7 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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