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General NPI Number Information
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NPI Number | 1184518169
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Entity Type | Organization
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Legal Business Name | DOWNTOWN PSYCHIATRY CHICAGO PLLC
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 30 N MICHIGAN AVE STE 703
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City | CHICAGO
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State | IL
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Zip | 60602-3816
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Country | US
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Telephone | 312-625-3551
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Fax | 312-625-3552
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Provider Business Mailing Address
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Address Line | 30 N MICHIGAN AVE STE 703
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City | CHICAGO
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State | IL
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Zip | 60602-3816
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Country | US
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Telephone | 312-625-3551
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Fax | 312-625-3552
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. SUDHAKAR SHENOY
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Credential | MD, FAPA
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Telephone | 312-625-3551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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