Organization
JAIDEV SONI
Active
Other names
Danville Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIDEV C. SONI MD (OFFICER)
(708) 774-2970
Entity
Organization
Contact information
Practice address
806 N LOGAN AVE, DANVILLE, IL 61832-3716
(217) 431-4290
(217) 431-4013
Mailing address
PO BOX 379, ORLAND PARK, IL 60462-0379
(708) 774-2970
(708) 460-1117
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9200217
BCBS IL GR #
IL
Enumeration date
11/08/2005
Last updated
07/23/2010
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