Individual provider · Type 1 NPI

Candice Michelle Small, MD

Student in an Organized Health Care Education/Training Program · Berwyn, IL

NPI number 1689055733 Active

Practice location

3231 Euclid Ave Fl 5
Berwyn, IL 60402-4603

Call (773) 783-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689055733

Candice Michelle Small, MD's National Provider Identifier is 1689055733, issued on Jun 15, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Berwyn, IL. The record was last updated on Jun 15, 2015.