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General NPI Number Information
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NPI Number | 1396004966
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Entity Type | Organization
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Legal Business Name | SHALINI CHAWLA MD
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 3000 N HALSTED ST STE 607
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City | CHICAGO
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State | IL
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Zip | 60657-5196
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Country | US
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Telephone | 630-541-9560
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Fax | 630-541-8381
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Provider Business Mailing Address
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Address Line | 3023 N CLARK ST STE 239
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City | CHICAGO
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State | IL
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Zip | 60657-5200
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Country | US
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Telephone | 630-541-9560
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Fax | 630-541-8381
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHALINI CHAWLA
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Credential | MD
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Telephone | 630-541-9560
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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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