Candice Marie Miles, RVT, RDCS, ARDMS, RT

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

98113 Issued in IN

Practice address

475 Brown Blvd Ste 103
Bourbonnais, IL 60914-2325

Phone

(815) 937-7962

Fax

(815) 936-8650

NPI assigned

Mar 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 10

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ultrasonic Medical Specialists LLC

  • Physiological Laboratory
  • Chesterton, IN
  • NPI 1053922849

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1740815885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 CONESTOGA DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463041559",
            "telephone_number": "219-617-8218",
            "fax_number": "502-775-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BROWN BLVD STE 103",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142325",
            "telephone_number": "815-937-7962",
            "fax_number": "815-936-8650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Conestoga Dr",
            "address_purpose": "LOCATION",
            "city": "Chesterton",
            "state": "IN",
            "postal_code": "463041559",
            "country_code": "US",
            "telephone_number": "219-617-8218",
            "fax_number": "502-775-8345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "CANDICE",
        "middle_name": "MARIE",
        "credential": "RVT, RDCS, ARDMS, RT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2022-11-29",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Driver",
            "state": "IN",
            "license": "5360024302",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "IN",
            "license": "98113",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "98113",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "98113",
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "IN",
            "license": "98113",
            "primary": false
        },
        {
            "code": "2471C1101X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Cardiovascular-Interventional Technology",
            "state": "IN",
            "license": "98113",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "IN",
            "license": "98113",
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "IN",
            "license": "98113",
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "IN",
            "license": "98113",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "IN",
            "license": "98113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle M Hessler MSW LCSW LLC
• Elizabeth Anne Middlebrook, SSP
• Midwest Express Care 2 Inc
• Midwest Physician Group LTD
• Alicia Marie Mikulski, LAT, ATC
• Joshua Devereux Miller, MD, PHD
• Kristin Miller, NP
• Laura L Mills, LCPC
• Martin Orval Minney, D.C.
• Moe Transportation Inc

• Diagnostic Ultrasound Physician in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Diagnostic Ultrasound Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.