Provider Demographics
NPI:1356136303
Name:CHAND, SAMEER BIPAN
Entity type:Individual
Prefix:
First Name:SAMEER
Middle Name:BIPAN
Last Name:CHAND
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 N EAST AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-2203
Mailing Address - Country:US
Mailing Address - Phone:330-907-0959
Mailing Address - Fax:
Practice Address - Street 1:330 N EAST AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-2203
Practice Address - Country:US
Practice Address - Phone:330-907-0959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care