Individual
HEMATHEJA LANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
(815) 842-2828
(815) 842-4912
Mailing address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
(815) 842-2828
(815) 842-4912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036154165
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2017
Last updated
08/19/2025
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