Individual
CANDACE R BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2160 S 1ST AVE, DEPARTMENT OF AUDIOLOGY, MAYWOOD, IL 60153-3328
(708) 216-3821
(708) 216-2137
Mailing address
2160 S 1ST AVE, DEPARTMENT OF AUDIOLOGY, MAYWOOD, IL 60153-3328
(708) 216-3821
(708) 216-2137
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000175
IL
Other
Enumeration date
01/24/2010
Last updated
04/01/2021
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