Individual
KANDICE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
909 E PALATINE RD, PALATINE, IL 60074-5551
(847) 776-1400
(847) 776-1424
Mailing address
909 E PALATINE RD, PALATINE, IL 60074-5551
(847) 776-1400
(847) 776-1424
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085001815
IL
Other
Enumeration date
05/31/2011
Last updated
03/01/2016
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