Organization
PRAIRIE RHEUMATOLOGY ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA C SOSENKO M.D. (PRESIDENT)
(815) 744-7246
Entity
Organization
Contact information
Practice address
903 129TH INFANTRY DR, SUITE 600, JOLIET, IL 60435-3170
(815) 744-7246
(815) 744-7346
Mailing address
903 129TH INFANTRY DR, SUITE 600, JOLIET, IL 60435-3170
(815) 744-7246
(815) 744-7346
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
042618784
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009932427
BLUE CROSS BLUE SHIELD
IL
01
—
DE6438
RAILROAD MEDICARE
—
Enumeration date
05/19/2006
Last updated
05/21/2008
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