MEDICARE: DR. SONALI P MAJMUDAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	036-097458	IL

General Provider Information

NPI Number	:	1528164118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SONALI P MAJMUDAR MD

Provider Business Mailing Address
First Line	:	1585 BARRINGTON RD
Second Line	:	SUITE 503
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-1090
Country	:	US
Telephone Number	:	847-781-3002
Fax Number	:	847-781-3694

Provider Business Practice Location Address
First Line	:	1585 BARRINGTON RD
Second Line	:	SUITE 503
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-1090
Country	:	US
Telephone Number	:	847-781-3002
Fax Number	:	847-781-3694

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	12/15/2021

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