Individual
DR. SONIA ANTONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2742 W MONTROSE AVE, CHICAGO, IL 60618-1536
(773) 463-0136
Mailing address
2740 W FOSTER AVE, LL7, CHICAGO, IL 60625-3500
(773) 878-8200
(773) 293-4197
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036100805
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100805
—
IL
01
—
406120107
PTAN
—
Enumeration date
07/07/2006
Last updated
10/04/2016
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