Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114327889 Individual Practitioner Female Practitioner

Mara Nicandro , NMT, LMT

Specialist • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Mara Nicandro, NMT, LMT is a registered healthcare professional specializing in Specialist in Chicago, IL. Practice services are available at 2225 W NORTH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2225 W North Ave
Elemental Health

Chicago, IL 606475429

Telephone 3124515771
Associated Practice Facility / Clinic
🏢 Four Flowers Wellness Facility NPI 1083151682

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 42.5 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
270 Specialists

Practicing in Chicago, IL (1322 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 227.013372

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1366804775

Licensed Acupuncturist

NPI 1467890962

LACABT

NPI 1619159332

Licensed Acupuncturist, Licensed Massage Therapist

Karyn Forman , LAC

Acupuncturist

NPI 1962190637

Licensed Acupuncturist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 29, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2014

Registered at 2225 W NORTH AVE, ELEMENTAL HEALTH, CHICAGO, IL 606475429 (Tel: 3124515771)

📍
Updated Business Mailing Address August 29, 2014

Registered at 2225 W NORTH AVE, ELEMENTAL HEALTH, CHICAGO, IL 606475429 (Tel: 3124515771)

👤
Provider Name / Credentials Updated August 29, 2014

Recorded as MARA NICANDRO, NMT, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2014

Specialist (License #227.013372 in IL)

🟢
Initial NPI Registration & Enumeration August 29, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114327889
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2014
Last Update: August 29, 2014
Sole Proprietor: No

Mailing Address

2225 W North Ave, Elemental Health

Chicago, IL 606475429

Phone: 3124515771

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.