Chandler Edgren, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

68 Airport Rd
Savoy, IL 61874-9809

Phone

(217) 359-6224

NPI assigned

Aug 28, 2019

Last updated

Aug 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1265080766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BRIGHTON DR",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618016416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 AIRPORT RD",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749809",
            "telephone_number": "217-359-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGREN",
        "first_name": "CHANDLER",
        "credential": "CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "iPad",
            "affiliation": "N",
            "endpointDescription": "Ipad",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "iPad",
            "address_1": "68 Airport Rd",
            "city": "Savoy",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618749809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dahna Physical Therapy Inc
• Joshua Lee Jacob Denney-Carlisle
• Jon Dillow
• Mary Duran, LCSW
• Christopher Echols, LSW
• Scott J Erickson, DC
• Erin Sturm Counseling, PLLC
• First Opinion Health Services (NC), PLLC
• Wendy Foley, FNP-C
• Rebecca Marie Freeman

• Speech-Language Pathologist in Savoy, IL
• Providers in Savoy, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.