Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sanjay Nagaraj Venugopal

Individual provider Pediatrics Physician · NPI 1679262224

Sanjay Nagaraj Venugopal is a Pediatrics Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

5841 S Maryland Ave # MC8016
Chicago, IL 60637-1443
Phone: (773) 702-6435
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 125.081563 (IL)

Record details

NPI number1679262224
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 1, 2023
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023
Mailing address180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686

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