Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 135000796 | IL |
Y | 222Z00000X | Podiatrist | 135000796 | IL |
NPI | 1013356559 |
---|---|
Provider Name | Dr. Sonia Goyal |
First Address | Burr Ridge, IL 60527-5294 |
Second Address | Oak Lawn, IL 60453-2345 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2013 |
Last Update Date | 26/10/2021 |