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NPI Code Detail

MEDICARE: DR. SONIA OYOLA M.D.

MEDICARE:  DR. SONIA  OYOLA  M.D.
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
1207Q00000XFamily Medicine Physician036103036IL

General Provider Information

NPI Number : 1730192451
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SONIA OYOLA M.D.
Provider Business Mailing Address
First Line : 2132 W MCLEAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-4525
Country : US
Telephone Number : 773-645-1083
Fax Number : 312-413-2880
Provider Business Practice Location Address
First Line : 1858 W 18TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1964
Country : US
Telephone Number : 312-996-1938
Fax Number : 312-413-2880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SONIA OYOLA M.D.” Practice Location

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