Healthcare Provider Details

I. General information

NPI: 1013877935
Provider Name (Legal Business Name): ERICA CHANDLER CPO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1895 ARBOR GLEN BLVD
SCHAUMBURG IL
60195-3114
US

IV. Provider business mailing address

715 FIELDSTONE CIR
LAKE ZURICH IL
60047-3021
US

V. Phone/Fax

Practice location:
  • Phone: 800-543-7362
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: