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Individual

DR. SORIN C DANCIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(773) 880-9722
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-3014
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-111114
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036-111114
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1487951711
GROUP NPI
IL
01
1602375
BCBS
IL
Enumeration date
08/05/2007
Last updated
08/09/2022
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