| Dr Jaidev C Soni, MD | |
|
806 N Logan Ave, Danville, IL 61832-3716 | |
| (217) 431-4290 | |
| (217) 431-4013 |
| Full Name | Dr Jaidev C Soni |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 806 N Logan Ave, Danville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811978752 | NPI | - | NPPES |
| 036056110 | Medicaid | IL | |
| 110002655 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 036056110 (Illinois) | Primary |
| Entity Name | St. Joseph Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871547414 PECOS PAC ID: 8921901620 Enrollment ID: O20040129001106 |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Entity Name | Saint Francis Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295785632 PECOS PAC ID: 9032021258 Enrollment ID: O20060307000310 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jaidev C Soni, MD Po Box 967, Tinley Park, IL 60477-0967 Ph: (708) 532-6029 | Dr Jaidev C Soni, MD 806 N Logan Ave, Danville, IL 61832-3716 Ph: (217) 431-4290 |
Jagannadharao Brahmamdam, MD Radiology Medicare: Medicare Enrolled Practice Location: 812 N Logan Ave, Danville, IL 61832 Phone: 217-431-8413 Fax: 217-431-1397 | |
Chilakapati V Ramaprasad, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 812 N Logan Ave, Danville, IL 61832 Phone: 217-431-8413 Fax: 217-431-1397 |