SOPHIA PENG

CHICAGO, IL
NPI1558821629
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: IL  036161119)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-23
Last Update Date2023-12-27
Business Address
SOPHIA PENG MD
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 866-600-2273
Mailing Address
SOPHIA PENG MD
912 S WOOD ST
CHICAGO, IL 60612-4300
Phone number: 646-269-4943