Individual
ANIL K KHEMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 LAKE AVE, WOODSTOCK, IL 60098-7401
(815) 337-7100
(815) 337-4700
Mailing address
2000 LAKE AVE, WOODSTOCK, IL 60098-7401
(815) 337-7100
(815) 337-4700
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036091226
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091226
—
IL
05
—
036091226 4
—
IL
01
—
05620217
BLUE CROSS BLUE SHIELD
IL
05
—
1750389953
—
WI
05
—
99111244
—
WI
01
—
KHEMAANI
MERCYCARE INSURANCE
WI
Enumeration date
07/12/2005
Last updated
09/10/2012
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