Provider Demographics
NPI:1346505286
Name:ABICHANDANI, SNEHA (MD)
Entity Type:Individual
Prefix:MRS
First Name:SNEHA
Middle Name:
Last Name:ABICHANDANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:FNU
Other - Middle Name:
Other - Last Name:SNEHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:800 EAST 55TH STREET
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615
Mailing Address - Country:US
Mailing Address - Phone:773-702-0660
Mailing Address - Fax:
Practice Address - Street 1:5843 SOUTH WESTERN
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60636
Practice Address - Country:US
Practice Address - Phone:773-434-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-06
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301100446208000000X
IL036145878208000000X
IL036.145878208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics