S and S Speech and Hearing

Primary specialty

SpecialistTaxonomy code 174400000X

License

147001152 Issued in IL

Legal business name

S AND S SPEECH AND HEARING

Practice address

7530 Woodward Ave
Suite a
Woodridge, IL 60517-3100

Phone

(630) 267-1869

Fax

(630) 416-0374

NPI assigned

Mar 24, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Dachepalli Chandra Srinivas, MSC

Title

Audiologist

Phone

(630) 267-1869

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1710128640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 WOODWARD AVE",
            "address_2": "SUITE A",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605173100",
            "telephone_number": "630-267-1869",
            "fax_number": "630-416-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 WOODWARD AVE",
            "address_2": "SUITE A",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605173100",
            "telephone_number": "630-267-1869",
            "fax_number": "630-416-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S AND S SPEECH AND HEARING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "SRINIVAS",
        "authorized_official_first_name": "DACHEPALLI",
        "authorized_official_middle_name": "CHANDRA",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "630-267-1869",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "147001152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "146008136",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "147001152",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell V. Fu, DDS
• Michelle A.C. Russell, MT-BC
• Diedre Ruva, RPHT
• Ashley Lauren Ryan, MA, BCBA, LBA
• Brianna Renee Rychlec, M.S. CF-SLP/L
• Jeffery Carl Saffold, DDS
• Chris Sahli, D.C.
• Tess Saibert
• Anisa Sakiri, PHARMD
• Rana Saleh

• Specialist in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.