Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 036071697 | IL |
NPI | 1598722712 |
---|---|
Provider Name | Dr. Steven M Sobol |
First Address | Decatur, IL 62526-4163 |
Second Address | Decatur, IL 62526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 04/09/2014 |