Individual
SONIA F CALLEJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.111646
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111646
—
IL
01
—
P00281330
MEDICARE RAILROAD
IL
Enumeration date
04/10/2006
Last updated
12/01/2021
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