Provider Demographics
NPI:1063170991
Name:GAIKWAD, NEELIMA
Entity type:Individual
Prefix:
First Name:NEELIMA
Middle Name:
Last Name:GAIKWAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 KEVIN ANDREW DR
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-3528
Mailing Address - Country:US
Mailing Address - Phone:414-236-8754
Mailing Address - Fax:
Practice Address - Street 1:47 KEVIN ANDREW DR
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-3528
Practice Address - Country:US
Practice Address - Phone:414-236-8754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health