| Candace P Gardner, LMT | |
|
960 Dieckman St, Woodstock, IL 60098-9287 | |
| (815) 404-1185 | |
| Not Available |
| Full Name | Candace P Gardner |
|---|---|
| Gender | Female |
| Speciality | Acupuncturist |
| Location | 960 Dieckman St, Woodstock, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194134072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 227.016782 (Illinois) | Secondary |
| 171100000X | Acupuncturist | 198001435 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Candace P Gardner, LMT 1060 Castleshire Dr, Woodstock, IL 60098-3164 Ph: (815) 404-1185 | Candace P Gardner, LMT 960 Dieckman St, Woodstock, IL 60098-9287 Ph: (815) 404-1185 |
Amadea I Brayden, LIC.AC. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 110 S Johnson St Ste 207, Woodstock, IL 60098 Phone: 312-523-4675 | |
Pure Acupuncture Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 110 S Johnson St, Suite 207, Woodstock, IL 60098 Phone: 312-523-4675 |