Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 286513 | MA |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 302519-01 | NY |
N | 2081P2900X | Pain Medicine | 302519-01 | NY |
NPI | 1023403268 |
---|---|
Provider Name | Dr. Sonika Randev |
First Address | Chicago, IL 60611-4264 |
Second Address | Chicago, IL 60611-4264 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2015 |
Last Update Date | 25/09/2021 |