Candace V Love (NPI# 1972657724, PAC ID# 3779689773) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1972657724 |
| PAC ID by PECOS | 3779689773 |
| Professional Enrollment ID | I20070508000662 |
| Full Name | Candace V Love |
| Organization Legal Name | CANDACE V. LOVE., PHD, SC |
| Address |
419 Ctr St C Grayslake IL 60030-1645 |
| Phone Number | 8477673540 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 2860598869 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 419 Ctr St C, Grayslake, IL 60030-1645 | 8477673540 | CANDACE V. LOVE., PHD, SC |
| Organization Legal Name | CANDACE V. LOVE., PHD, SC |
| Physicians | 1 |
| Street Address |
419 CTR ST C |
| City | GRAYSLAKE |
| State | IL |
| Zip | 60030-1645 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane E Petersen | Clinical Social Worker | Community Youth Network Inc | 18640 W Belvidere Rd, Suite 120, Grayslake, IL 60030 |
| Gail M Weil | Clinical Social Worker | Community Youth Network Inc | 18640 W Belvidere Rd, Suite 120, Grayslake, IL 60030 |
| Andrea Bercos | Clinical Social Worker | Community Youth Network Inc | 18640 W Belvidere Rd, Grayslake, IL 60030 |
| Marty J Ziemer | Clinical Social Worker | 34140 N Hickory Ave, Grayslake, IL 60030-1016 | |
| Griff J Winters | Podiatry | 770 Barron Blvd, Grayslake, IL 60030-1330 | |
| Scott Damon Pouyat | Optometry | 661 N Lake St, Grayslake Eyecare, Grayslake, IL 60030-1471 | |
| Daniel S Tresley | Ophthalmology | 661 Lake St, Grayslake, IL 60030-1471 | |
| Leah Pendarvis | Psychologist, Clinical | 11 N Slusser St, Grayslake, IL 60030-1524 | |
| Charles E Hutchcraft | Clinical Social Worker | Counseling Center of Grayslake Ltd | 106 Ctr St, Grayslake, IL 60030-1533 |
| Julie A Pettinato | Clinical Social Worker | Counseling Center of Grayslake Ltd | 106 Ctr St, Grayslake, IL 60030-1533 |
| Find all physicians in zip 60030 | |||
| City | GRAYSLAKE |
| Zip Code | 60030 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | GRAYSLAKE + PSYCHOLOGIST, CLINICAL |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.