Dr. Candace Brown, Ed.D.
Early Intervention Provider Agency in Oak Lawn, IL. Individual provider (NPI-1).
NPI number1104615665
StatusActive
Last updated in NPPESMay 1, 2025
Details
- NPI
- 1104615665
- Entity type
- Individual (NPI-1)
- Name
- Dr. Candace Brown
- Credential
- Ed.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2025
- Certification date
- May 1, 2025
- Last updated
- May 1, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
9333 S Harlem Ave Apt 6bOak Lawn, IL 60453-2089
Phone 312-804-2662
Mailing address
9333 S Harlem Ave Apt 6bOak Lawn, IL 60453-2089
Phone 312-804-2662
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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