Provider Demographics
NPI:1871701714
Name:SANCHEZ, CLAUDETTE L (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CLAUDETTE
Middle Name:L
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:CLAUDETTE
Other - Middle Name:
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1153 GUNDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60304-2150
Mailing Address - Country:US
Mailing Address - Phone:773-551-0004
Mailing Address - Fax:773-305-8081
Practice Address - Street 1:1153 GUNDERSON AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60304-2150
Practice Address - Country:US
Practice Address - Phone:773-551-0004
Practice Address - Fax:773-305-8081
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146006271235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist