Provider Demographics
NPI:1184191959
Name:HOLLANDER, CHANA (SLP-CCC)
Entity Type:Individual
Prefix:
First Name:CHANA
Middle Name:
Last Name:HOLLANDER
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2712 W GREENLEAF AVE APT C
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-3049
Mailing Address - Country:US
Mailing Address - Phone:323-356-5009
Mailing Address - Fax:
Practice Address - Street 1:2712 W GREENLEAF AVE APT C
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-3049
Practice Address - Country:US
Practice Address - Phone:323-356-5009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist