Individual
MS. CANDICE DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
400 N WOLF RD, NORTHLAKE, IL 60164-1659
(708) 551-1400
Mailing address
400 N WOLF RD, NORTHLAKE, IL 60164-1659
(708) 551-1400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014605
IL
Other
Enumeration date
08/10/2016
Last updated
06/19/2020
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