Healthcare Provider Details

I. General information

NPI: 1568305431
Provider Name (Legal Business Name): NGO YIN CANDACE NG LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CANDACE NG

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E HURON ST STE 1300
CHICAGO IL
60611-2999
US

IV. Provider business mailing address

150 E HURON ST STE 1300
CHICAGO IL
60611-2999
US

V. Phone/Fax

Practice location:
  • Phone: 312-847-5312
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCSW231232
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.117927
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: