Provider Demographics
NPI:1962455790
Name:LIMAYE, HEMLATA S (MD)
Entity Type:Individual
Prefix:DR
First Name:HEMLATA
Middle Name:S
Last Name:LIMAYE
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 1:805 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-3300
Mailing Address - Country:US
Mailing Address - Phone:630-620-5685
Mailing Address - Fax:630-620-5860
Practice Address - Street 1:805 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-3300
Practice Address - Country:US
Practice Address - Phone:630-620-5685
Practice Address - Fax:630-620-5860
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-046632208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036046632Medicaid