Healthcare Provider Details

I. General information

NPI: 1811807662
Provider Name (Legal Business Name): NORMA MEDICAL CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19710 GOVERNORS HWY STE 8
FLOSSMOOR IL
60422-2081
US

IV. Provider business mailing address

19710 GOVERNORS HWY STE 8
FLOSSMOOR IL
60422-2081
US

V. Phone/Fax

Practice location:
  • Phone: 708-854-1500
  • Fax:
Mailing address:
  • Phone: 708-854-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CANDICE CHAMBERS
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 708-854-1500