Provider Demographics
NPI:1588912455
Name:SCHENDEL, SUSAN E (SLP-CCC)
Entity type:Individual
Prefix:MISS
First Name:SUSAN
Middle Name:E
Last Name:SCHENDEL
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 W VAN BUREN ST
Mailing Address - Street 2:6H
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-3526
Mailing Address - Country:US
Mailing Address - Phone:312-343-5602
Mailing Address - Fax:
Practice Address - Street 1:913 W VAN BUREN ST
Practice Address - Street 2:6H
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-3526
Practice Address - Country:US
Practice Address - Phone:312-343-5602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-26
Last Update Date:2012-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-005048235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist