MEDICARE: SHIKSHA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	019028281	IL

General Provider Information

NPI Number	:	1558610352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHIKSHA INC

Provider Business Mailing Address
First Line	:	222 N COLUMBUS DR
Second Line	:	#3108
City	:	CHICAGO
State	:	IL
Zip	:	60601-7810
Country	:	US
Telephone Number	:	574-361-9292
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 N COLUMBUS DR
Second Line	:	#3108
City	:	CHICAGO
State	:	IL
Zip	:	60601-7810
Country	:	US
Telephone Number	:	574-361-9292
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SHELLY HINGLE
Credential	:	DDS
Telephone Number	:	574-361-9292

Provider Enumeration Date	:	09/07/2012
Last Update Date	:	09/07/2012

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