Individual
SHIVANJALI SHANKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 S PAULINA ST STE 140, CHICAGO, IL 60612-3806
(312) 942-5865
Mailing address
600 S PAULINA ST STE 140, CHICAGO, IL 60612-3806
(312) 942-5865
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-143813
IL
207RI0200X
Infectious Disease Physician
0101249722
VA
207RI0200X
Infectious Disease Physician
Primary
036-143813
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-032
TRICARE/CHAMPUS
VA
01
—
10091628
OPTIMA HEALTH
VA
01
—
1861628364
UNITED HEALTHCARE
VA
05
—
1861628364
—
VA
01
—
456782
ANTHEM BC/BS
VA
05
—
5920094
—
NC
01
—
PAR
MULTIPLAN
VA
Enumeration date
06/10/2009
Last updated
07/18/2023
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