Individual
DR. SUNEEL MAHENDRA UDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
911 N ELM ST, SUITE 102, HINSDALE, IL 60521-3634
(630) 495-9356
(630) 495-9357
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036118486
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400280
GROUP MEDICARE PTAN
—
Enumeration date
06/26/2007
Last updated
01/25/2023
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