| Candice L Chambers, | |
|
19710 Governors Hwy Ste 8, Flossmoor, IL 60422-2081 | |
| (708) 854-1500 | |
| (833) 740-4378 |
| Full Name | Candice L Chambers |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 19710 Governors Hwy Ste 8, Flossmoor, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093300998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.020426 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 277.002944 (Illinois) | Primary |
| Entity Name | OSF Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | Laser Spine Center of Chicago LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801303714 PECOS PAC ID: 4880959543 Enrollment ID: O20180530000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Candice L Chambers, 19710 Governors Hwy Ste 8, Flossmoor, IL 60422-2081 Ph: (708) 854-1500 | Candice L Chambers, 19710 Governors Hwy Ste 8, Flossmoor, IL 60422-2081 Ph: (708) 854-1500 |
Grace Diala, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3710 Lismore St, Flossmoor, IL 60422 Phone: 708-527-0354 |
Mrs. Talia Simone Thompson- Jones, FPA APRN - BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19801 Governors Hwy Ste 140, Flossmoor, IL 60422 Phone: 708-635-6484 |
Jennifer C Sarkey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19550 Governors Hwy, Suite 3300, Flossmoor, IL 60422 Phone: 708-915-8660 Fax: 708-957-5919 |
Kristi C Hughes, FNP- BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3235 Vollmer Rd Ste 104, Flossmoor, IL 60422 Phone: 708-631-3917 |
Ms. Samantha Hyche, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19730 Governors Hwy Ste 6, Flossmoor, IL 60422 Phone: 708-860-0957 Fax: 773-975-3270 |
Joy Ngozi Adugba, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3029 Polly Ln, Flossmoor, IL 60422 Phone: 708-510-0768 |
Kristen Gervasi, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19550 Governors Hwy, Flossmoor, IL 60422 Phone: 708-915-3100 |