Individual
DR. JAIDEV C SONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
806 N LOGAN AVE, DANVILLE, IL 61832-3716
(217) 431-4290
(217) 431-4013
Mailing address
PO BOX 967, TINLEY PARK, IL 60477-0967
(708) 532-6029
(708) 468-4991
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036056110
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056110
—
IL
01
—
110002655
RR MEDICARE
—
Enumeration date
11/08/2005
Last updated
09/20/2019
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