Individual
DR. BESAGARAHALLY C SHANKARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
406 FRONT ST, SUITE C, MCHENRY, IL 60050-5593
(815) 344-6868
(815) 344-5454
Mailing address
406 NORTH FRONT STREET, SUITE C, MCHENRY, IL 60050
(815) 344-6868
(815) 344-5454
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036070042
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070042
—
IL
Enumeration date
01/26/2006
Last updated
05/03/2015
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