# SANJAY N RAO MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568584506
- **Authorized official:** DR. SANJAY NAGULAPALLI RAO M.D. (PRESIDENT)
- **Authorized official phone:** (847) 668-5498

## Contact information

- **Practice address:** 1426 S FEDERAL ST, E, CHICAGO, IL 60605-3060
- **Practice address phone:** (847) 668-5498
- **Practice address fax:** (312) 765-0409
- **Mailing address:** 1426 S FEDERAL ST, E, CHICAGO, IL 60605-3060
- **Mailing address phone:** (847) 668-5498
- **Mailing address fax:** (312) 765-0409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | IL | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/22/2020