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General NPI Number Information
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NPI Number | 1104350198
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Entity Type | Organization
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Legal Business Name | SUNILA M. RAO, PSY.D., LLC
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 685 CENTRAL AVE
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City | DEERFIELD
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State | IL
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Zip | 60015-4308
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Country | US
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Telephone | 847-791-9185
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1142
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City | DEERFIELD
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State | IL
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Zip | 60015-6002
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Country | US
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Telephone | 847-791-9185
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/OWNER
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Name | DR. SUNILA M RAO
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Credential | PSY.D.
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Telephone | 847-791-9185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071006663
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License Number State | IL
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