CANDICE MARIE MILES RVT RDCS ARDMS RT NPI 1740815885

NPI Information

NPI: 1740815885
Provider Name: CANDICE MARIE MILES, RVT, RDCS, ARDMS, RT
Classification: Radiology - 2085U0001X
Entity Type: Individual

Specialization: Diagnostic Ultrasound

Address:
475 BROWN BLVD STE 103
BOURBONNAIS, IL
ZIP 60914
Phone: (815) 937-7962
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Candice Marie Miles, RVT, RDCS, ARDMS, RT is a diagnostic ultrasound radiology in Bourbonnais, IL. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. Candice Marie Miles, RVT, RDCS, ARDMS, RT NPI is 1740815885. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

475 BROWN BLVD STE 103
BOURBONNAIS, IL
ZIP 60914-325
Phone: (815) 937-7962
Fax: (815) 936-8650

The enumeration date for this NPI number is 3/9/2020 and was last updated on 11/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver		5360024302	INDIANA	No
2	174H00000X	Health Educator		98113	INDIANA	No
3	207V00000X	Obstetrics & Gynecology		98113	INDIANA	No
4	208000000X	Pediatrics		98113	INDIANA	No
5	247100000X	Radiologic Technologist		98113	INDIANA	No
6	2471C1101X	Radiologic Technologist	Cardiovascular-Interventional Technology	98113	INDIANA	No
7	2471S1302X	Radiologic Technologist	Sonography	98113	INDIANA	No
8	2471V0105X	Radiologic Technologist	Vascular Sonography	98113	INDIANA	No
9	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier		98113	INDIANA	No
10	2085U0001X	Radiology	Diagnostic Ultrasound	98113	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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