Provider Demographics
NPI:1205840501
Name:SORIANO, RACHNA HAJELA (DO)
Entity Type:Individual
Prefix:
First Name:RACHNA
Middle Name:HAJELA
Last Name:SORIANO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:RACHNA
Other - Middle Name:
Other - Last Name:HAJELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:355 E ERIE ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3167
Mailing Address - Country:US
Mailing Address - Phone:312-238-1000
Mailing Address - Fax:
Practice Address - Street 1:355 E ERIE ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3167
Practice Address - Country:US
Practice Address - Phone:312-238-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-106273208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL250013834OtherRAILROAD MEDICARE
IL250013833OtherRAILROAD MEDICARE
IL036106273Medicaid
ILL94171Medicare PIN
IL036106273Medicaid
IL250013833OtherRAILROAD MEDICARE
ILL92584Medicare PIN