MEDICARE: DR. HEMLATA ANILKUMAR RANA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician		IL

General Provider Information

NPI Number	:	1619908282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEMLATA ANILKUMAR RANA M.D.

Provider Business Mailing Address
First Line	:	1702 ELMDALE AVE
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-1504
Country	:	US
Telephone Number	:	847-998-1992
Fax Number	:

Provider Business Practice Location Address
First Line	:	4714 S CICERO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60638-2027
Country	:	US
Telephone Number	:	773-838-8080
Fax Number	:	773-767-3602

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	07/08/2007

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