Provider Demographics
NPI:1255135620
Name:YUNEZ, SOFIA MARIA (MD)
Entity type:Individual
Prefix:
First Name:SOFIA
Middle Name:MARIA
Last Name:YUNEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 OLYMPIA CT
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1618
Mailing Address - Country:US
Mailing Address - Phone:630-464-7634
Mailing Address - Fax:
Practice Address - Street 1:1 GUSTAVE L LEVY PL # 1118
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6504
Practice Address - Country:US
Practice Address - Phone:212-241-8707
Practice Address - Fax:212-241-8445
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program