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NPI 1568637841

NPI 1568637841 : SHEELA R. MAHENDRA MD : NAPERVILLE, IL

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General NPI Number Information
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    NPI Number           |    1568637841
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    Entity Type          |    Individual 
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    Provider Name        |    SHEELA R. MAHENDRA MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/28/2008
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    Last Update Date     |    10/31/2025
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Provider Practice Location Address
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    Address Line         |    120 SPALDING DR STE 411 
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    City                 |    NAPERVILLE
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    State                |    IL
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    Zip                  |    60540-6558
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    Country              |    US
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    Telephone            |    847-570-1795
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    Fax                  |    847-503-4590
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Provider Business Mailing Address
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    Address Line         |    2650 RIDGE AVE STE 1223 
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    City                 |    EVANSTON
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    State                |    IL
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    Zip                  |    60201-1700
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    Country              |    US
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    Telephone            |    847-570-2040
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    Fax                  |    847-570-5315
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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        |    2080P0206X
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    Taxonomy Name        |    Pediatric Gastroenterology Physician
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    License Number       |    036135079
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    036135079
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    License Number State |    IL
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