Provider Demographics
NPI:1750658258
Name:SONI, PINAL G (PHARMD)
Entity Type:Individual
Prefix:
First Name:PINAL
Middle Name:G
Last Name:SONI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 N SUTTON RD
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-3717
Mailing Address - Country:US
Mailing Address - Phone:847-645-1194
Mailing Address - Fax:
Practice Address - Street 1:1145 SHAWFORD WAY CT
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-5010
Practice Address - Country:US
Practice Address - Phone:847-691-2827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-291009183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist