Provider Demographics
NPI:1568637841
Name:MAHENDRA, SHEELA R (MD)
Entity type:Individual
Prefix:
First Name:SHEELA
Middle Name:R
Last Name:MAHENDRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHEELA
Other - Middle Name:SUDHIR
Other - Last Name:RAIKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2650 RIDGE AVE STE 1223
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1700
Mailing Address - Country:US
Mailing Address - Phone:847-570-2040
Mailing Address - Fax:847-570-5315
Practice Address - Street 1:120 SPALDING DR STE 411
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6558
Practice Address - Country:US
Practice Address - Phone:847-570-1795
Practice Address - Fax:847-503-4590
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361350792080P0206X, 208000000X
IL036.1350792080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics