Santiago Angel Candocia (NPI# 1780764019, PAC ID# 3779679840) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1780764019 |
| PAC ID by PECOS | 3779679840 |
| Professional Enrollment ID | I20071020000063 |
| Full Name | Santiago Angel Candocia |
| Organization Legal Name | DEDICATION HEALTH LLC |
| Address |
710 Oak St Winnetka IL 60093-2522 |
| Phone Number | 8479866770 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7810290699 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 710 Oak St, Winnetka, IL 60093-2522 | 8479866770 | DEDICATION HEALTH LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | DEDICATION HEALTH LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Dale Stern | Internal Medicine | Dedication Health LLC | 710 Oak St, Winnetka, IL 60093-2522 |
| Philip H Sheridan Jr. | Pulmonary Disease | Dedication Health LLC | 710 Oak St, Winnetka, IL 60093-2522 |
| John E Croghan | Internal Medicine | Dedication Health LLC | 710 Oak St, Winnetka, IL 60093-2522 |
| Street Address |
710 OAK ST |
| City | WINNETKA |
| State | IL |
| Zip | 60093-2522 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Dale Stern | Internal Medicine | Dedication Health LLC | 710 Oak St, Winnetka, IL 60093-2522 |
| Philip H Sheridan Jr. | Pulmonary Disease | Dedication Health LLC | 710 Oak St, Winnetka, IL 60093-2522 |
| John E Croghan | Internal Medicine | Dedication Health LLC | 710 Oak St, Winnetka, IL 60093-2522 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary L Phillips | Psychologist, Clinical | 550 Sunset Ridge Rd, Northfield, IL 60093-1027 | |
| Nathan N Birnberg | Psychiatry | 778 Frontage Rd, Suite 111, Northfield, IL 60093-1209 | |
| Debra M Beyer | Physical Therapy | 778 W Frontage Rd, Suite 112, Northfield, IL 60093-1209 | |
| Elizabeth F Feldman | Psychologist, Clinical | 778 W Frontage Rd, Suite 115, Northfield, IL 60093-1209 | |
| Arnold M Ordman | Psychologist, Clinical | 778 W Frontage Rd, Suite 123, Northfield, IL 60093-1209 | |
| Robert L Richart Jr. | Chiropractic | 2 Northfield Plz, Suite 204, Northfield, IL 60093-1217 | |
| Vicki L Shaffer | Clinical Social Worker | 550 W Frontage Rd, Suite 2730, Northfield, IL 60093-1259 | |
| Sarah Mcginn | Physical Therapy | Dynamic Physical Therapy, Inc. | 914 Green Bay Rd, Suite 202, Winnetka, IL 60093-1701 |
| Kate Mckechnie | Physical Therapy | Dynamic Physical Therapy, Inc. | 914 Green Bay Rd, Suite 202, Winnetka, IL 60093-1701 |
| Kimberly S Hassenfeld | Clinical Social Worker | Counseling Center of The North Shore Inc | 992 /2 Green Bay Rd, Winnetka, IL 60093-1722 |
| Find all physicians in zip 60093 | |||
| City | WINNETKA |
| Zip Code | 60093 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WINNETKA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Santiago Angel Candocia.
| 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.