Candace Correa in Peoria - Radiation Oncology

Candace Correa - NPI 1952420671

Candace Correa is a Radiation Oncology in Peoria, Illinois. Candace Correa practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Candace Correa is 1952420671. The last update date is 2019-04-25.

Candace Correa's current location address is 221 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 936725700. The mailing address for Candace Correa is 221 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Candace Correa
Address 221 Ne Glen Oak Ave, Peoria, Illinois
Phone Number 936725700
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1952420671
Provider Enumeration Date 2007-03-28
Last Updated Date 2019-04-25

Provider Mailing Address Detail

Address 221 Ne Glen Oak Ave
City Peoria
State Illinois (IL)
Post Code 616363813
Phone Number 936725700
Fax Number

Provider's Primary Taxonomy Detail

Speciality Radiation Oncology
Taxonomy 2085R0001X
Licence No 4301085775
Definition:
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P01365713 NY RRMCR
3808642 NY --

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FAQs about Candace Correa

What is the unique 10-digit identifier code assigned to Candace Correa by the Centers for Medicare & Medicaid Services?

The Candace Correa has been issued the NPI (National Provider Identifier) 1952420671 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Candace Correa is located?

The Candace Correa is situated at the following address: 221 Ne Glen Oak Ave, Peoria, IL, 616363813.

What is the area of specialization for Candace Correa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Candace Correa is Radiation Oncology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0001X.

On what date was the 1952420671 assigned to Candace Correa?

The Candace Correa was issued its 1952420671 on 2007-03-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Candace Correa last refreshed?

The information related to the Candace Correa, including its address, specialty, and other relevant details, was last updated on 2019-04-25.

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