Individual
MS. CANDACE JOY ESPOSITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
750 E TERRA COTTA AVE STE A, CRYSTAL LAKE, IL 60014-3621
(815) 455-1800
Mailing address
6710 GALWAY DR, MCHENRY, IL 60050-8602
(815) 382-8767
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015310
IL
363LF0000X
Family Nurse Practitioner
209015310
IL
Other
Enumeration date
09/30/2019
Last updated
11/04/2019
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