Miles, Candice Marie

Miles, Candice Marie is an sole proprietor health care provider with primary practice located at 475 Brown Blvd Ste 103 , Bourbonnais IL 60914-2325. She recently has 10 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Health Educator, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Cardiovascular-Interventional Technology, Technologists, Technicians & Other Technical Service Providers / Sonography, Technologists, Technicians & Other Technical Service Providers / Vascular Sonography, Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Ultrasound is her primary health care specialty. Miles, Candice Marie can be contacted via phone (815) 937-7962.

Contact Information

Primary practice address
475 Brown Blvd Ste 103 Bourbonnais IL 60914-2325
Phone: (815) 937-7962
Fax: (815) 936-8650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 5360024302 Indiana
Other Service Providers / Health Educator 174H00000X 98113 Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 98113 Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 98113 Indiana
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 98113 Indiana
Technologists, Technicians & Other Technical Service Providers / Cardiovascular-Interventional Technology 2471C1101X 98113 Indiana
Technologists, Technicians & Other Technical Service Providers / Sonography 2471S1302X 98113 Indiana
Technologists, Technicians & Other Technical Service Providers / Vascular Sonography 2471V0105X 98113 Indiana
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 98113 Indiana
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 98113 Indiana

Profile Details

NPI number 1740815885
LBN Legal business name Miles, Candice Marie
Credentials RVT, RDCS, ARDMS, RT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2020
Last updated Nov 29th, 2022 - about 2 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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