Sophia Deltoro, DO | |
396 Remington Blvd Ste 240, Bolingbrook, IL 60440-4307 | |
(630) 226-0664 | |
Not Available |
Full Name | Sophia Deltoro |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 396 Remington Blvd Ste 240, Bolingbrook, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205361243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036162109 (Illinois) | Primary |
Entity Name | Adventist Health Partners,inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033490651 PECOS PAC ID: 0244135762 Enrollment ID: O20040127000064 |
Mailing Address | Practice Location Address |
---|---|
Sophia Deltoro, DO 396 Remington Blvd Ste 240, Bolingbrook, IL 60440-4307 Ph: (630) 226-0664 | Sophia Deltoro, DO 396 Remington Blvd Ste 240, Bolingbrook, IL 60440-4307 Ph: (630) 226-0664 |
Lia Jordano, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 396 Remington Blvd Ste 300, Bolingbrook, IL 60440 Phone: 630-789-3422 | |
Dr. Jason Christopher Goliath, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 396 Remington Blvd, Suite 240, Bolingbrook, IL 60440 Phone: 630-226-0664 Fax: 630-226-0669 | |
Stephan G Wyers, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 396 Remington Blvd Ste 240, Bolingbrook, IL 60440 Phone: 630-226-0664 |