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Individual

DR. ANSHUMAN SONI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1418 S MILWAUKEE AVE, SUITE # 4, LIBERTYVILLE, IL 60048
(847) 984-2548
(847) 984-2957
Mailing address
1418 S MILWAUKEE AVE, SUITE # 4, LIBERTYVILLE, IL 60048
(847) 984-2548
(847) 984-2957

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026289
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019026289
LICENSE
IL
Enumeration date
11/23/2005
Last updated
10/06/2015
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