Individual
CANDICE EMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1451 W ERIE ST APT 1F, CHICAGO, IL 60642-6159
(269) 599-1686
Mailing address
1451 W ERIE ST APT 1F, CHICAGO, IL 60642-6159
(269) 599-1686
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146009991
IL
Other
Enumeration date
08/08/2012
Last updated
12/30/2019
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