Provider Demographics
NPI:1376787838
Name:LADING, CHRISTOPHER A (MSCCC SLP)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:A
Last Name:LADING
Suffix:
Gender:M
Credentials:MSCCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15750 SPANGLERS FARM DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-2149
Mailing Address - Country:US
Mailing Address - Phone:779-435-9507
Mailing Address - Fax:855-230-9820
Practice Address - Street 1:15750 SPANGLERS FARM DR
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-2149
Practice Address - Country:US
Practice Address - Phone:779-435-9507
Practice Address - Fax:855-230-9820
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146009699235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist