Provider Demographics
NPI:1033234760
Name:CHADDHA, YOGITA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:YOGITA
Middle Name:
Last Name:CHADDHA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1692 N SAINT ANDREW DR
Mailing Address - Street 2:
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-1050
Mailing Address - Country:US
Mailing Address - Phone:847-918-0804
Mailing Address - Fax:847-918-0817
Practice Address - Street 1:1692 N SAINT ANDREW DR
Practice Address - Street 2:
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1050
Practice Address - Country:US
Practice Address - Phone:847-918-0804
Practice Address - Fax:847-918-0817
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146005957235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist