Individual
DR. HEMLATA D BAKANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12755 QUAILS ROOST DR, NEW LENOX, IL 60451-2795
(815) 462-1706
(816) 462-3029
Mailing address
12755 W QUAILS ROOST DR, NEW LENOX, IL 60451-3754
(815) 462-1706
(816) 462-3029
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
036-086641
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086641
—
IL
Enumeration date
08/10/2006
Last updated
05/27/2009
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