Individual
DR. SONYA PAISLEY AGNEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 N SAINT CLAIR ST, DEPT OF PLASTIC AND RECONSTRUCTIVE SURGERY, SUITE19-250, CHICAGO, IL 60611-5975
(312) 695-6022
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036.122286
IL
Other
Enumeration date
01/26/2009
Last updated
06/16/2021
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