Provider Demographics
NPI:1336651264
Name:SCHECHNER, SANDRA JEAN (CPO/LPO)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:JEAN
Last Name:SCHECHNER
Suffix:
Gender:F
Credentials:CPO/LPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 W COLFAX ST UNIT 1535
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60078-7957
Mailing Address - Country:US
Mailing Address - Phone:773-677-0695
Mailing Address - Fax:708-575-8905
Practice Address - Street 1:302 W ROSALIE LN
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-1065
Practice Address - Country:US
Practice Address - Phone:773-677-0695
Practice Address - Fax:708-575-8905
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL213000314222Z00000X
IL211000230224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist