Provider Demographics
NPI:1326342692
Name:SUBAITIS, CANDICE MARGOT (DC)
Entity Type:Individual
Prefix:DR
First Name:CANDICE
Middle Name:MARGOT
Last Name:SUBAITIS
Suffix:
Gender:F
Credentials:DC
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Other - Credentials:
Mailing Address - Street 1:2625 BUTTERFIELD RD
Mailing Address - Street 2:STE 301N
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1234
Mailing Address - Country:US
Mailing Address - Phone:630-320-6400
Mailing Address - Fax:630-701-1007
Practice Address - Street 1:190 E STACY RD
Practice Address - Street 2:SUITE 1614
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-8734
Practice Address - Country:US
Practice Address - Phone:972-678-3080
Practice Address - Fax:972-678-3083
Is Sole Proprietor?:No
Enumeration Date:2010-12-30
Last Update Date:2013-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX12453111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor