Provider Demographics
NPI:1972919827
Name:SHENOY, SUDHAKAR KATEEL (MD, FAPA)
Entity type:Individual
Prefix:DR
First Name:SUDHAKAR
Middle Name:KATEEL
Last Name:SHENOY
Suffix:
Gender:M
Credentials:MD, FAPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 N MICHIGAN AVE STE 703
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3816
Mailing Address - Country:US
Mailing Address - Phone:312-625-3551
Mailing Address - Fax:312-625-3552
Practice Address - Street 1:30 N MICHIGAN AVE STE 703
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3816
Practice Address - Country:US
Practice Address - Phone:312-625-3551
Practice Address - Fax:312-625-3552
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361451082084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry