Individual
CANDICE MICHELLE PIELAGO APHAIVONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
370 SUMMIT ST, ELGIN, IL 60120-3843
(847) 608-1344
Mailing address
1420 EVERGREEN LN, PINGREE GROVE, IL 60140-9103
(773) 600-2005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018293
IL
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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