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Individual

DR. SHASHI KIRAN BELLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 CENTRAL ST STE 615, EVANSTON, IL 60201-1779
(847) 570-2714
(847) 733-5109
Mailing address
2650 RIDGE AVE # 1223, EVANSTON, IL 60201-1700
(847) 982-3175
(847) 982-3394

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036102726
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036102726
IL
207RP1001X
Pulmonary Disease Physician
Primary
036102726
IL

Other

Enumeration date
07/16/2006
Last updated
12/29/2025
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