Provider Demographics
NPI:1619908282
Name:RANA, HEMLATA ANILKUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:HEMLATA
Middle Name:ANILKUMAR
Last Name:RANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 ELMDALE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-1504
Mailing Address - Country:US
Mailing Address - Phone:847-998-1992
Mailing Address - Fax:
Practice Address - Street 1:4714 S CICERO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60638-2027
Practice Address - Country:US
Practice Address - Phone:773-838-8080
Practice Address - Fax:773-767-3602
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL783000Medicare ID - Type Unspecified
ILD16634Medicare UPIN