| Doctor Name: | MR. SANTOSHKUMAR S MUNDADA |
| NPI Number: | 1154395093 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS |
| License Number: | 146005282 |
| Business Practice Address: | 707 Westwind Dr New Lenox, IL - 604519219 |
| Business Phone Number: | 7087438801 |
| Business Fax Number: | 7735272812 |
| Mailing Address: | 801 S Wilmette Ave, WESTMONT |
| State: | IL |
| Postal Code: | 605598624 |
| Phone Number: | 7087438801 |
| Fax Number: | 8155725174 |
| NPI Enumeration Date: | 02/16/2006 |
| NPI Last Update Date: | 10/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 146005282 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |