DR. JAIDEV C SONI (NPI# 1811978752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811978752 |
Entity Type | Individual |
Full Name | DR. JAIDEV C SONI |
Credential | MD |
Practice Address |
806 N Logan Ave Danville IL 61832-3716 |
Mailing Address |
Po Box 967 Tinley Park IL 60477-0967 |
Practice Telephone | 2174314290 |
Practice Fax Number | 2174314013 |
Mailing Telephone | 7085326029 |
Mailing Fax Number | 7084684991 |
Enumeration Date | 2005-11-08 |
Last Update Date | 2019-09-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
036056110 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RR MEDICARE | 110002655 | 01 | |
IL | 036056110 | 05 |
Street Address |
806 N LOGAN AVE |
City | DANVILLE |
State | IL |
Zip Code | 61832-3716 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861473704 | Jaidev Soni | Radiology | 806 N Logan Ave, Danville, IL 61832-3716 | 2005-11-08 |
1942849955 | Dally Go Legaspi | Nurse Practitioner | 806 N Logan Ave, Danville, IL 61832-3716 | 2019-12-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
Find all providers in zip 61832 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144280298 | John Anthony Clement | Radiology | 38 Overlook Dr, Danville, PA 17821-9603 | 2006-03-24 |
1861473704 | Jaidev Soni | Radiology | 806 N Logan Ave, Danville, IL 61832-3716 | 2005-11-08 |
1306831516 | Gregory H. Carlsen | Radiology | 204 S 2nd St, Danville, KY 40422-1804 | 2005-09-14 |
1861495996 | David J Salinger | Radiology | 100 N Academy Ave, Danville, PA 17822-2385 | 2005-05-23 |
1336346659 | Heath Mackley | Radiology | 100 N Academy Ave, Danville, PA 17822-0850 | 2007-06-29 |
1285687178 | Commonwealth Hematology Oncology Psc | Radiology | 520 Techwood Drive, Suite 100, Danville, KY 40422-8500 | 2006-05-19 |
1073589669 | Alfred D. Christie | Radiology | 100 N Academy Ave, Danville, PA 17822-2003 | 2006-02-24 |
1891777389 | Anand Mahadevan | Radiology | 100 N Academy Ave, Danville, PA 17822 | 2005-11-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629690185 | Illinois Radiation Oncology Consultants Pllc | Radiology | 208 Flax Dr Ste 100, Highland, IL 62249-1396 | 2020-05-07 |
1770070609 | Brian Chou | Radiology | 2160 S 1st Ave Rm 2944, Maywood, IL 60153-3328 | 2018-04-17 |
1932606654 | Amishi Bajaj | Radiology | 2011 Midwest Club Pkwy, Oak Brook, IL 60523-2526 | 2018-04-09 |
1629502208 | Nathaniel Camden | Radiology | 500 South Paulina Street, Atrium Building, Ground Floor, Chicago, IL 60612-3833 | 2017-04-20 |
1811436553 | Seung Won Seol | Radiology | 251 E Huron St Ste Lc-178, Chicago, IL 60611 | 2017-02-14 |
1689051328 | Ross Scott Zeitlin | Radiology | 1901 W Harrison St Ste Ll-500, Chicago, IL 60612-3714 | 2015-05-01 |
1730578527 | Jeffrey Gross | Radiology | 6525 N Mozart St, Apt 3, Chicago, IL 60645-4377 | 2015-01-15 |
1508267220 | Vantage Cancer Care - Illinois, S.c. | Radiology | 17750 South Kedzie Avenue, Hazel Crest, IL 60429-2047 | 2014-09-12 |
1952714636 | Aditya Juloori | Radiology | 5841 S Maryland Ave # Mc9006, Chicago, IL 60637-1443 | 2014-06-10 |
1083047146 | Yoon Tae Kim | Radiology | 1025 Sunset Rd, Winnetka, IL 60093-3622 | 2013-08-13 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.