Individual
CANDY WOODS KOBLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APRN PMHNP
Contact information
Practice address
400 N HIGHLAND AVE, AURORA, IL 60506-3814
(630) 892-4355
Mailing address
3200 HIGHLAND AVE, DOWNERS GROVE, IL 60515-8301
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209029208
IL
Other
Enumeration date
01/31/2024
Last updated
10/01/2024
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