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Contact Information

SUDARSHAWN DAMODHARAN, DO
5841 S MARYLAND AVE
CHICAGO, IL60637-1443
 Phone: 773-702-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SUDARSHAWN DAMODHARAN · (Male)

NPI Number 1871029819
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/11/2017
Last updated 04/22/2026 - About 1 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-164635
  • WI License # 036164635
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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