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NPI Code Detail

MEDICARE: SHILPA TELANG MD

MEDICARE: SHILPA TELANG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramNJ
22080N0001XNeonatal-Perinatal Medicine Physician036.155923IL

General Provider Information

NPI Number : 1679068811
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHILPA TELANG MD
Provider Business Mailing Address
First Line : 1500 S FAIRFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1782
Country : US
Telephone Number : 773-542-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1500 S FAIRFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1782
Country : US
Telephone Number : 773-542-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2018
Last Update Date : 02/14/2026

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