Provider Demographics
NPI:1255976338
Name:CHANDANI & BURNS, LLC
Entity type:Organization
Organization Name:CHANDANI & BURNS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HEERA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDANI
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP/L
Authorized Official - Phone:847-877-0118
Mailing Address - Street 1:3150 N LAKE SHORE DR APT 29E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-4843
Mailing Address - Country:US
Mailing Address - Phone:847-877-0118
Mailing Address - Fax:
Practice Address - Street 1:4711 GOLF RD STE 100
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1239
Practice Address - Country:US
Practice Address - Phone:847-877-0118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty