Provider Demographics
NPI:1821404336
Name:CHANDRAN, CAITLIN M (APN)
Entity Type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:M
Last Name:CHANDRAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:CAITLIN
Other - Middle Name:M
Other - Last Name:ZINDARS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:997 N CORPORATE CIR STE B
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-7822
Mailing Address - Country:US
Mailing Address - Phone:224-777-0805
Mailing Address - Fax:833-464-3975
Practice Address - Street 1:997 N CORPORATE CIR STE B
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-7822
Practice Address - Country:US
Practice Address - Phone:224-777-0805
Practice Address - Fax:833-464-3975
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-03
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209010956363LF0000X
IL277000509363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily