Ms. Candice Ciancio
Nurse Practitioner (Family)

Address: 720 N Larrabee St Apt 1204, Chicago, IL 60654-5079
Phone: 7734162118

Ms. Candice Ciancio (NPI# 1336763572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1336763572
Entity Type Individual
Full Name Ms. Candice Ciancio
Gender Female
Practice Address 720 N Larrabee St Apt 1204
IL 60654-5079
Practice Telephone 7734162118
Mailing Address 720 N Larrabee St Apt 1204
IL 60654-5079
Mailing Telephone 7734162118
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-06-03
Last Update Date 2020-06-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 209.021130 IL

Other Provider Identifier

State Identifier Issuer Type Code
IL 209.021130 OTHER IDPH

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

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1760018733 Maria Siena H May Nurse Practitioner 2837 N Whipple St # G, Chicago, IL 60618-7641 2020-03-20
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Office Location

Street Address 720 N LARRABEE ST APT 1204
State IL
Zip Code 60654-5079

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669014924 Tanner John Magee Chiropractor 415 N. Lasalle St., Suite 605, Chicago, IL 60654 2019-10-08
1144873886 Fraeda Friedman Social Worker 451 N Lasalle Dr, Chicago, IL 60654 2019-07-22
1568024040 Robin Elizabeth Miller Dietitian, Registered 770 North Lasalle Street, Suite 800, Chicago, IL 60654 2019-07-03
1487115804 Ontario Street Operatory Fac Clinic/Center 22 W Ontario Street Operatory, Chicago, IL 60654 2019-03-28
1134697683 Ghazal Kermani Dentist 350 North Clark Street, Suite 600, Chicago, IL 60654 2018-11-02
1225516842 Tyler Jonathan Hinkel Radiology 33 W Ontario St Apt 46f, Chicago, IL 60654 2018-08-06
1710495312 Mia Zarlengo Dietitian, Registered 770 N Lasalle Dr, 800, Chicago, IL 60654 2018-01-17
1568970341 Kelly Lyons Acupuncturist 770 N Lasalle St., Suite 800, Chicago, IL 60654 2018-01-16
1407367568 Amy Mcnicholas Counselor 721 N Lasalle, Chicago, IL 60654 2017-10-17
1568971091 Frederick Antonio Smith Psychologist 222 Merchandise Mart Plz Ste 442, Chicago, IL 60654 2017-09-27
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Zip Code 60654

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.