Mrs. Candice Marie Domke-Hochberg
Massage Therapist
220 Lakeshore Ln
Bloomingdale
, Illinois 60108-1951
Mrs. Candice Marie Domke-Hochberg
Massage Therapist
220 Lakeshore Ln
Bloomingdale
, Illinois 60108-1951
(630) 235-3170
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Mrs. Candice Marie Domke-Hochberg
- 220 Lakeshore Ln
- Bloomingdale, IL
- Zip : 60108-1951
- Phone : (630) 235-3170
Second Address
- Mrs. Candice Marie Domke-Hochberg
- 220 Lakeshore Ln
- Bloomingdale, IL
- Zip : 60108-1951
- Phone : (630) 235-3170
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227.004955 | IL |
National Provider Identifier
| NPI | 1003205899 |
|---|---|
| Provider Name | Mrs. Candice Marie Domke-Hochberg |
| First Address | Bloomingdale, IL 60108-1951 |
| Second Address | Bloomingdale, IL 60108-1951 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/01/2015 |
| Last Update Date | 15/01/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.