MEDICARE: DR. SHESH S. RAO M.D.

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	207R00000X	Internal Medicine Physician	036108910	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306885504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHESH S. RAO M.D.

Provider Business Mailing Address
First Line	:	15 SALT CREEK LN
Second Line	:	SUITE 111
City	:	HINSDALE
State	:	IL
Zip	:	60521-2926
Country	:	US
Telephone Number	:	630-371-0133
Fax Number	:	630-371-0138

Provider Business Practice Location Address
First Line	:	2913 N COMMONWEALTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-6211
Country	:	US
Telephone Number	:	630-371-0133
Fax Number	:	630-371-0138

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	11/27/2023

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