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NPI Code Detail

MEDICARE: DR. JULIE MARY SADHU MD

MEDICARE:  DR. JULIE MARY SADHU  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician036128273IL
22084P0800XPsychiatry Physician036128273IL

General Provider Information

NPI Number : 1891959144
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIE MARY SADHU MD
Provider Business Mailing Address
First Line : 225 E CHICAGO AVE
Second Line : BOX 10
City : CHICAGO
State : IL
Zip : 60611-2991
Country : US
Telephone Number : 312-227-6650
Fax Number : 312-227-9659
Provider Business Practice Location Address
First Line : 225 E CHICAGO AVE
Second Line : BOX 10
City : CHICAGO
State : IL
Zip : 60611-2991
Country : US
Telephone Number : 312-227-6650
Fax Number : 312-227-9659
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2008
Last Update Date : 10/19/2016

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Directions to “ DR. JULIE MARY SADHU MD” Practice Location

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