Shankara, Besagarahally C

Shankara, Besagarahally C is an sole proprietor health care provider with primary practice located at 406 Front St Suite C, Mchenry IL 60050-5593. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shankara, Besagarahally C can be contacted via phone (815) 344-6868.

Contact Information

Primary practice address
406 Front St Suite C Mchenry IL 60050-5593
Fax: (815) 344-5454
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036070042 Illinois

Profile Details

NPI number 1144290495
LBN Legal business name Shankara, Besagarahally C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated May 3rd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144290495 NPPES
Illinois MEDICAID 036070042

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