Provider Demographics
NPI:1427392604
Name:DANEKAS, ANDEA NICHOLAS (MA)
Entity Type:Individual
Prefix:MRS
First Name:ANDEA
Middle Name:NICHOLAS
Last Name:DANEKAS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 W WINDHILL DR
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-9110
Mailing Address - Country:US
Mailing Address - Phone:847-776-8191
Mailing Address - Fax:
Practice Address - Street 1:1323 W WINDHILL DR
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-9110
Practice Address - Country:US
Practice Address - Phone:847-754-6515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-12
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146002972235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist