Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1578586020 Deactivated / Inactive NPI Male Practitioner

Dr. C.r. Mohan C.r. Rao , MD

General Practice • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. C.r. Mohan Rao has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 25, 2006
NPI Deactivation Date December 20, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. C.R. Mohan Rao, MD was a registered General Practice practicing in Chicago, IL. Throughout an active medical career spanning 17 years, Dr. Rao provided care at the practice location at 1802 W. CHICAGO AVE. until profile deactivation on 2023-12-20.

Practice Location & Contact Primary Location

Practice Address

1802 W. Chicago Ave.
Suite 2

Chicago, IL 606225512

Telephone 7732782998
Fax 7732782997
Associated Practice Facility / Clinic
🏢 Blue Island Medical Group Facility NPI 1699075804

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.3 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
109 Specialists

Practicing in Chicago, IL (355 Statewide)

Telehealth Adoption Rate
2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IL 036042832

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1295768588

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 20, 2023

Record deactivated on December 20, 2023

NPI Profile Active December 14, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 14, 2011

Registered at 1802 W. CHICAGO AVE., SUITE 2, CHICAGO, IL 606225512 (Tel: 7732782998)

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Updated Business Mailing Address December 14, 2011

Registered at 1802 W. CHICAGO AVE., SUITE 2, CHICAGO, IL 606225512 (Tel: 7732782998)

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Provider Name / Credentials Updated December 14, 2011

Recorded as C.R. MOHAN RAO, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2011

General Practice (License #036042832 in IL)

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Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578586020
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: December 14, 2011
Deactivation Date: December 20, 2023

Mailing Address

1802 W. Chicago Ave., Suite 2

Chicago, IL 606225512

Phone: 7732782998

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.