Provider Demographics
NPI:1023024452
Name:BESHARA, HANY (PT)
Entity Type:Individual
Prefix:MR
First Name:HANY
Middle Name:
Last Name:BESHARA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9307
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60567-0307
Mailing Address - Country:US
Mailing Address - Phone:630-479-7711
Mailing Address - Fax:630-922-9890
Practice Address - Street 1:3412 SUNNYSIDE CT
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-9002
Practice Address - Country:US
Practice Address - Phone:630-479-7711
Practice Address - Fax:630-922-9890
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics