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General NPI Number Information
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NPI Number | 1437398922
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Entity Type | Individual
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Provider Name | RAJESH DUDANI MD
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Gender | Male
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Dates
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Enumeration Date | 02/06/2009
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 1969 W OGDEN AVE FL 4
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City | CHICAGO
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State | IL
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Zip | 60612-3765
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Country | US
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Telephone | 312-972-3910
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Fax |
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Provider Business Mailing Address
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Address Line | 1424 TOMLIN DR
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City | BURR RIDGE
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State | IL
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Zip | 60527-4800
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Country | US
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Telephone | 129-723-9103
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036-122480
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 036122480
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License Number State | IL
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