Individual
SOPHIA J. PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1717 W CONGRESS PKWY STE 10, CHICAGO, IL 60612-3809
(312) 942-3568
Mailing address
1717 W CONGRESS PKWY STE 10, CHICAGO, IL 60612-3809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036157365
IL
207R00000X
Internal Medicine Physician
35125966
OH
207R00000X
Internal Medicine Physician
DR.0060610
CO
208M00000X
Hospitalist Physician
Primary
036157365
IL
208M00000X
Hospitalist Physician
DR.0060610
CO
Other
Enumeration date
04/04/2012
Last updated
12/07/2022
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