CANDICE OBERLIES (NPI# 1598026536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598026536 |
| Entity Type | Individual |
| Full Name | CANDICE OBERLIES |
| Credential | PA-C |
| Practice Address |
1010 Lake St Ste 500 Oak Park IL 60301-1135 |
| Practice Telephone | 7085248600 |
| Practice Fax Number | 7085248147 |
| Mailing Telephone | 7085248600 |
| Mailing Fax Number | 7085248147 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2014-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085-001663 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1010 LAKE ST STE 500 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60301-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437768793 | Olivia Delafield Tinati | Counselor | 1010 Lake St Ste 500, Oak Park, IL 60301-1135 | 2020-07-23 |
| 1801404348 | Janine Marie Phan | Counselor | 1010 Lake St Ste 500, Oak Park, IL 60301-1135 | 2020-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982332 | Heather Lea Corwin | Counselor | Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 | 2020-01-30 |
| 1194244400 | Kristin Burns Mind and Body | Clinic/Center | 715 Lake St Ste 703, Oak Park, IL 60301 | 2017-09-18 |
| 1538686357 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1129 Lake St., Oak Park, IL 60301 | 2017-08-23 |
| 1851835888 | Wanda Secthecia Presley | Nurse's Aide | 1140 South Lake Street, Oak Park, IL 60301 | 2016-12-09 |
| 1477914323 | Naomi Elise Heinz | Occupational Therapist | 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 | 2016-03-18 |
| 1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
| 1356755334 | Grief Recovery Group, Inc | Social Worker | 1010 Lake Street, Suite 620, Oak Park, IL 60301 | 2014-06-17 |
| 1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
| 1427334622 | Ina N. Owens | Social Worker | 137 N. Oak Park Ave, Oak Park, IL 60301 | 2011-11-01 |
| 1265720130 | Debora S Crowley | Occupational Therapist | 820 North Blvd., Oak Park, IL 60301 | 2011-07-13 |
| Find all providers in zip 60301 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441328 | Ishangi Shah | Physician Assistant | 432 Harrison St Apt G, Oak Park, IL 60304-1464 | 2020-06-12 |
| 1073150744 | Taelor Young | Physician Assistant | 6660 Buttonwood Ave, Oak Park, CA 91377-1327 | 2019-12-02 |
| 1356995344 | Shane Sternhill Bellon | Physician Assistant | 4818 Aliano Dr, Oak Park, CA 91377-4828 | 2019-07-28 |
| 1396304788 | Karina Mariel Calderon | Physician Assistant | 610 S Maple Ave Ste 3700, Oak Park, IL 60304-2806 | 2019-06-10 |
| 1699220780 | Katherine Lehman | Physician Assistant | 539 S Cuyler Ave, Oak Park, IL 60304-1502 | 2016-08-18 |
| 1922400472 | Latoya Miller | Physician Assistant | 903 Clinton Ave, Apt 1, Oak Park, IL 60304-1868 | 2014-09-16 |
| 1831199264 | Gayatri R. Amin | Physician Assistant | 8750 W 9 Mile Rd, Oak Park, MI 48237-2322 | 2005-07-28 |
| 1184259038 | Aimee Fondell Klinefelter | Physician Assistant | 7047 North Ave, Oak Park, IL 60302-1015 | 2020-03-10 |
| 1225593965 | Stephanie Bachmann | Physician Assistant | 1 Erie Ct Ste 7120, Oak Park, IL 60302-2510 | 2019-02-06 |
| 1366941247 | Peter Matty | Physician Assistant | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2018-02-06 |
| Find all providers in OAK PARK | ||||
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| 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.