Individual
ULANA BOHDANNA SONEVYTSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153
(708) 216-9169
Mailing address
233 BARBERRY LN, VALPARAISO, IN 46383-9780
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01076827B
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2012
Last updated
08/01/2018
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