Provider Demographics
NPI:1508305350
Name:MATHERS, CANDACE (ND)
Entity Type:Individual
Prefix:DR
First Name:CANDACE
Middle Name:
Last Name:MATHERS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18W140 BUTTERFIELD RD
Mailing Address - Street 2:SUITE 1504
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4843
Mailing Address - Country:US
Mailing Address - Phone:708-381-0610
Mailing Address - Fax:708-843-9803
Practice Address - Street 1:18W140 BUTTERFIELD RD
Practice Address - Street 2:SUITE 1504
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-4843
Practice Address - Country:US
Practice Address - Phone:708-381-0610
Practice Address - Fax:708-843-9803
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-13
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath