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NPI Code Detail

MEDICARE: DR. CANDACE MATHERS N.D.

MEDICARE: DR. CANDACE MATHERS N.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath

General Provider Information

NPI Number : 1508305350
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CANDACE MATHERS N.D.
Provider Business Mailing Address
First Line : 18W140 BUTTERFIELD RD
Second Line : SUITE 1504
City : OAKBROOK TERRACE
State : IL
Zip : 60181-4843
Country : US
Telephone Number : 708-381-0610
Fax Number : 708-843-9803
Provider Business Practice Location Address
First Line : 18W140 BUTTERFIELD RD
Second Line : SUITE 1504
City : OAKBROOK TERRACE
State : IL
Zip : 60181-4843
Country : US
Telephone Number : 708-381-0610
Fax Number : 708-843-9803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2017
Last Update Date : 05/09/2017

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