Individual
COLLEEN ELLIOTT-MCCANDLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1304 FRANKLIN AVE STE 380, NORMAL, IL 61761-3558
(309) 268-5130
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61821-2500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013060
IL
Other
Enumeration date
08/17/2015
Last updated
05/09/2024
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