Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 036124832 | IL |
N | 207PP0204X | Pediatric Emergency Physician | C10007257 | DE |
N | 2080P0204X | Pediatric Emergency Doctor | 036-124832 | IL |
NPI | 1720170509 |
---|---|
Provider Name | Dr. Parul Patel Soni |
First Address | Chicago, IL 60611-2991 |
Second Address | Chicago, IL 60611-2991 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 05/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0031933 | (05) | NJ |
010238277 | (05) | VA |
101032647 | (05) | PA |
2641147 | (05) | NY |
4048849 | (05) | MD |
7611154 | (05) | NC |
I07375 | (02) |