KANDICE WILLIS (NPI# 1811281520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811281520 |
| Entity Type | Individual |
| Full Name | KANDICE WILLIS |
| Credential | PA-C |
| Practice Address |
909 E Palatine Rd Palatine IL 60074-5551 |
| Practice Telephone | 8477761400 |
| Practice Fax Number | 8477761424 |
| Mailing Telephone | 8477761400 |
| Mailing Fax Number | 8477761424 |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2016-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085001815 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
909 E PALATINE RD |
| City | PALATINE |
| State | IL |
| Zip Code | 60074-5551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083699722 | Peter M Blendonohy | Specialist | 909 E Palatine Rd, Palatine, IL 60074-5551 | 2005-12-14 |
| 1780207308 | Jill D Gillespie | Nurse Practitioner | 909 E Palatine Rd, Palatine, IL 60074-5551 | 2020-05-19 |
| 1497385264 | Maya Oana Gherman | Nurse Practitioner | 909 E Palatine Rd, Palatine, IL 60074-5551 | 2020-01-21 |
| 1639649486 | Lilian M Pumah | Nurse Practitioner | 909 E Palatine Rd, Palatine, IL 60074-5551 | 2018-12-04 |
| 1780186049 | Kristin Melendez | Nurse Practitioner | 909 E Palatine Rd, Palatine, IL 60074-5551 | 2018-03-02 |
| 1508226283 | Kristen J Ryan | Nurse Practitioner | 909 E Palatine Rd, Palatine, IL 60074-5551 | 2016-02-24 |
| 1154789964 | Maria Arlene J Saxsma | Nurse Practitioner | 909 E Palatine Rd, Palatine, IL 60074-5551 | 2016-02-08 |
| 1598159717 | Allison Mclennon | Registered Nurse | 909 E Palatine Rd, Palatine, IL 60074-5551 | 2015-03-25 |
| 1538567490 | Alison Dela Cruz | Registered Nurse | 909 E Palatine Rd, Palatine, IL 60074-5551 | 2014-12-09 |
| 1871916437 | Ruth Anderson | Psychologist | 909 E Palatine Rd, Palatine, IL 60074-5551 | 2014-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710477831 | Seng Lee | Behavior Technician | 759 E Independence Apt 4, Palatine, IL 60074 | 2018-05-14 |
| 1932601382 | Smile Palatine | Dentist | 566 E. Northwest Hwy, Palatine, IL 60074 | 2018-03-01 |
| 1790151892 | Deepali Mohindra | Dentist | 1196 East Dundee Road, Palatine, IL 60074 | 2015-08-12 |
| 1023406873 | Crista Koldenhoven | Nurse Practitioner | 909 East Palatine Road, Rehabilitation Associates of The Midwest, Palatine, IL 60074 | 2015-01-02 |
| 1871897264 | Claire Foss | Social Worker | 800 E Northwest Hwy Ste 500, Palatine, IL 60074 | 2010-12-29 |
| 1972830024 | Elizabeth Ann Kohls Weatherton | Massage Therapist | 885 W.dundee Road, Palatine, IL 60074 | 2009-11-11 |
| 1558585646 | Jane K Samuels | Nurse Practitioner | Walgreens 375 E Dundee Rd, Palatine, IL 60074 | 2007-04-12 |
| 1538204961 | Palatine Internal Medicine Sc | Internal Medicine | 855 E Palatine Road, Suite 250, Palatine, IL 60074 | 2007-02-21 |
| 1437201381 | Ambreen Hasan | Dentist | 1196 E. Dundee Rd, Palatine, IL 60074 | 2007-01-18 |
| 1134224264 | Gregory Paprocki | Physical Therapist | 800 E. Northwest Highway, Suite 940, Palatine, IL 60074 | 2006-09-13 |
| Find all providers in zip 60074 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932185667 | Jason Haartman | Physician Assistant | 909 E Palatine Rd, Palatine, IL 60074-5551 | 2005-12-15 |
| 1780669440 | John Conroy | Physician Assistant | 909 E Palatine Rd, Palatine, IL 60074-5551 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
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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.