Jennifer Jayne Candel, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036.087903 Issued in IL

Practice address

19W031 Avenue Chateaux N
Oak Brook, IL 60523-1660

Phone

(630) 434-2256

Fax

(630) 434-2256

NPI assigned

Jan 25, 2012

Last updated

Jan 25, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1164793949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19W031 AVENUE CHATEAUX N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231660",
            "telephone_number": "630-434-2256",
            "fax_number": "630-434-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19W031 AVENUE CHATEAUX N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231660",
            "telephone_number": "630-434-2256",
            "fax_number": "630-434-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDEL",
        "first_name": "JENNIFER",
        "middle_name": "JAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.087903",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.087903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.