Organization
S AND S SPEECH AND HEARING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DACHEPALLI CHANDRA SRINIVAS MSC (AUDIOLOGIST)
(630) 267-1869
Entity
Organization
Contact information
Practice address
7530 WOODWARD AVE, SUITE A, WOODRIDGE, IL 60517-3100
(630) 267-1869
(630) 416-0374
Mailing address
7530 WOODWARD AVE, SUITE A, WOODRIDGE, IL 60517-3100
(630) 267-1869
(630) 416-0374
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
147001152
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146008136
LICENSE NUMBER
IL
01
—
147001152
LICENSE NUMBER
IL
Enumeration date
03/24/2009
Last updated
04/20/2009
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