CANDICE BLOCK
NPI 1003697467
Counselor - Mental Health in Chicago, IL
Active since October 11, 2023
About Candice Block NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANDICE BLOCK (NPI 1003697467) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (180015380) and active in the NPI registry since October 2023.
NPPES Registry Identity
NPI1003697467
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCANDICE BLOCK
Location Address4740 N CLARK STChicago, IL 60640-4689
Mailing Address4740 N Clark StChicago, IL 60640-4689 · (773) 769-0205
Phone(262) 957-7281
Sole ProprietorNo
Enumeration DateOctober 11, 2023
Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1003697467 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180015380
4740 N CLARK ST, Chicago, IL 60640
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Mental Health (Including Community Mental Health Center))
4740 N CLARK ST
CHICAGO, IL 60640
CHICAGO, IL 60640
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003697467, enumerated as an "individual" on October 11, 2023.
The provider is located at 4740 N CLARK ST CHICAGO, IL 60640 and the phone number is (262) 957-7281.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
