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General NPI Number Information
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NPI Number | 1972919827
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Entity Type | Individual
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Provider Name | SUDHAKAR KATEEL SHENOY MD, FAPA
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Gender | Male
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Dates
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Enumeration Date | 07/10/2014
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Last Update Date | 09/19/2025
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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 |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036145108
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 036145108
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License Number State | IL
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