Healthcare Provider Details

I. General information

NPI: 1568637841
Provider Name (Legal Business Name): SHEELA R. MAHENDRA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHEELA SUDHIR RAIKAR

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SPALDING DR STE 411
NAPERVILLE IL
60540-6558
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 847-570-1795
  • Fax: 847-503-4590
Mailing address:
  • Phone: 847-570-2040
  • Fax: 847-570-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036135079
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number036135079
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: