NPI 1194056564
Candace R Blank, AUD
Practice location
- Address
- 2160 S 1st Ave Department of Audiology, Maywood, IL 60153-3328
- Phone
- (708) 216-3821
- Fax
- (708) 216-2137
Registered specialties
Audiologist
Primary
Registry record
- NPI
- 1194056564
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Jan 2010
- Record last updated
- 1 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.