Individual
MRS. CANDICE ROSE ROBB-RAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 653-0848
(630) 933-3710
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 653-0848
(630) 933-3710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036128471
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036128471
—
IL
01
—
920540
MEDICARE PTAN (GROUP)
IL
01
—
920540029
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
DB1658
RR MEDICARE PTAN (GROUP)
IL
01
—
P01098968
RR MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
04/10/2009
Last updated
07/23/2013
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