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NPI Code Detail

MEDICARE: SANJANA VENKAT

MEDICARE: SANJANA VENKAT
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
1208000000XPediatrics Physician036.177660IL

General Provider Information

NPI Number : 1902509607
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANJANA VENKAT
Provider Business Mailing Address
First Line : 225 E CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2991
Country : US
Telephone Number : 312-227-4000
Fax Number :
Provider Business Practice Location Address
First Line : 225 E CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2991
Country : US
Telephone Number : 312-227-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2023
Last Update Date : 01/20/2026

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Directions to “ SANJANA VENKAT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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