Provider Demographics
NPI:1265754899
Name:BESLER, CHRISTOPHER C (RSA)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:C
Last Name:BESLER
Suffix:
Gender:M
Credentials:RSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 MADISON ST
Mailing Address - Street 2:APT 1C
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-3535
Mailing Address - Country:US
Mailing Address - Phone:630-484-6668
Mailing Address - Fax:
Practice Address - Street 1:800 MADISON ST
Practice Address - Street 2:APT 1C
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-3535
Practice Address - Country:US
Practice Address - Phone:630-484-6668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-23
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL238.000245246ZC0007X, 246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist