Individual
CANDACE BUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
4538 N BEACON ST, CHICAGO, IL 60640-5519
(773) 275-7200
Mailing address
4538 N BEACON ST, CHICAGO, IL 60640-5519
(773) 275-7200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.007619
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056.007619
OCCUPATIONAL THERAPIST LICENSE
IL
Enumeration date
06/03/2010
Last updated
04/14/2011
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