CANDACE P GARDNER (NPI# 1194134072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194134072 |
| Entity Type | Individual |
| Full Name | CANDACE P GARDNER |
| Credential | LMT |
| Practice Address |
10 N Virginia St Crystal Lake IL 60014-4139 |
| Practice Telephone | 8154593860 |
| Practice Fax Number | 8154593990 |
| Mailing Telephone | 8154593860 |
| Mailing Fax Number | 8154593990 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227.016782 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10 N VIRGINIA ST |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-4139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005560 | Daniel V Strelcheck Jr. | Chiropractor | 10 N Virginia St, Crystal Lake, IL 60014-4126 | 2005-06-28 |
| 1356720304 | Diana Wozniak | Massage Therapist | 10 N Virginia St, Crystal Lake, IL 60014-4139 | 2015-05-22 |
| 1619363272 | Alyssa Stanek | Massage Therapist | 10 N Virginia St, Crystal Lake, IL 60014-4139 | 2015-04-10 |
| 1689079477 | Kathryn Rau | Massage Therapist | 10 N Virginia St, Crystal Lake, IL 60014-4139 | 2014-10-23 |
| 1992105993 | Megan Norton | Massage Therapist | 10 N Virginia St, Crystal Lake, IL 60014-4139 | 2014-08-26 |
| 1265831630 | Victor Rico Sr. | Specialist | 10 N Virginia St, Crystal Lake, IL 60014-4139 | 2014-08-21 |
| 1881791945 | Strelcheck Chiropractic Clinic Ltd | Chiropractor | 10 N Virginia St, Crystal Lake, IL 60014-4139 | 2006-09-20 |
| 1518063346 | Daniel Valentine Strelcheck Sr. | Chiropractor | 10 N Virginia St, Crystal Lake, IL 60014-4139 | 2006-09-16 |
| 1366548109 | Peter Timothy Norton | Chiropractor | 10 N Virginia St, Crystal Lake, IL 60014-4139 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679929657 | Sandra Chece | Massage Therapist | 14 Grant St, Crystal Lake, IL 60014-4314 | 2016-05-10 |
| 1790145126 | Lorrie Janeczko | Massage Therapist | 1644 Yellowstone Cir, Crystal Lake, IL 60014-8906 | 2016-02-26 |
| 1063812840 | Debra Elaine Duggan | Massage Therapist | 1623 Lilac Dr, Crystal Lake, IL 60014-1989 | 2014-08-28 |
| 1588073431 | Ryan Scott Johnson | Massage Therapist | 10 North Virginia Street, Crystal Lake, IL 60014 | 2014-08-05 |
| 1689292278 | Agata M Foreman | Massage Therapist | 333 Commerce Dr Ste 175, Crystal Lake, IL 60014-3596 | 2020-07-09 |
| 1710437694 | Jane Dintzner | Massage Therapist | 820 E Terra Cotta Ave, Suite 101, Crystal Lake, IL 60014-3649 | 2016-10-04 |
| 1356720304 | Diana Wozniak | Massage Therapist | 10 N Virginia St, Crystal Lake, IL 60014-4139 | 2015-05-22 |
| 1093194391 | Laura E Leukaufe | Massage Therapist | 330 W Terra Cotta Ave, Crystal Lake, IL 60014-3552 | 2015-05-20 |
| 1073992426 | Amberly R Cencula | Massage Therapist | 330 W Terra Cotta Ave, Crystal Lake, IL 60014-3552 | 2015-05-19 |
| 1619363272 | Alyssa Stanek | Massage Therapist | 10 N Virginia St, Crystal Lake, IL 60014-4139 | 2015-04-10 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on CANDACE P GARDNER.
| 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.