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General NPI Number Information
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NPI Number | 1619908282
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Entity Type | Individual
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Provider Name | HEMLATA ANILKUMAR RANA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4714 S CICERO AVE
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City | CHICAGO
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State | IL
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Zip | 60638-2027
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Country | US
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Telephone | 773-838-8080
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Fax | 773-767-3602
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Provider Business Mailing Address
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Address Line | 1702 ELMDALE AVE
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City | GLENVIEW
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State | IL
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Zip | 60026-1504
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Country | US
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Telephone | 847-998-1992
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | IL
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