Provider Demographics
NPI:1265609739
Name:SONI, MEHUL PRAVIN (MD)
Entity type:Individual
Prefix:DR
First Name:MEHUL
Middle Name:PRAVIN
Last Name:SONI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 E NORTHWEST HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-2274
Mailing Address - Country:US
Mailing Address - Phone:847-813-0700
Mailing Address - Fax:
Practice Address - Street 1:380 E NORTHWEST HWY STE 200
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-2274
Practice Address - Country:US
Practice Address - Phone:847-813-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361264852086X0206X, 207P00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine