NPI 1023256435 CANDI HAZELWONDER CST NORMAL IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Candi Hazelwonder - NPI: 1023256435

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: CANDI HAZELWONDER
NPI Number: 1023256435
Entity Type Code: Individual (1)
Gender: F
Credentials: CST
License Number:
Business Practice Address: 1604 Visa Dr Ste 1
Normal, IL - 617612195
Business Phone Number: 3098464716
Business Fax Number:
Mailing Address: 1606 Visa Dr Ste 1,
NORMAL
State: IL
Postal Code: 61761
Phone Number: 3098464716
Fax Number:
NPI Enumeration Date: 01/23/2009
NPI Last Update Date: 01/23/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 246ZS0410X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type:
Taxonomy Classification:
Taxonomy Specialization:
Taxonomy Definition:


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