Provider Demographics
NPI:1831112374
Name:RAO, SHEILA C (DO)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:C
Last Name:RAO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 S HIGHLAND AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5397
Mailing Address - Country:US
Mailing Address - Phone:630-261-1210
Mailing Address - Fax:630-261-1211
Practice Address - Street 1:2340 S HIGHLAND AVE STE 300
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5397
Practice Address - Country:US
Practice Address - Phone:302-611-2106
Practice Address - Fax:630-261-1211
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361076672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL79891700OtherMAGELLAN
IL9932296OtherBCBS
IL036107667Medicaid
IL79891700OtherMAGELLAN