Individual
SOBIYA ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-7774
Mailing address
903 S ASHLAND AVE, APT 607, CHICAGO, IL 60607-4002
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
125065365
IL
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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