Individual
MRS. CANDICE BOCHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
676 N SAINT CLAIR ST STE 950, CHICAGO, IL 60611-2955
(312) 694-7337
(312) 926-9116
Mailing address
676 N SAINT CLAIR ST STE 950, CHICAGO, IL 60611-2955
(312) 694-7337
(312) 926-9116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021130
IL
363LF0000X
Family Nurse Practitioner
209.021130
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.021130
IDPH
IL
Enumeration date
06/03/2020
Last updated
07/18/2024
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