Individual
CANDACE MICHELE DORTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9716 S LOWE AVE, CHICAGO, IL 60628-1013
(678) 815-3475
Mailing address
9716 S LOWE AVE, CHICAGO, IL 60628-1013
(678) 815-3475
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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