Provider Demographics
NPI:1700311727
Name:RYGIELSKI, SONYA (MD)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:RYGIELSKI
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 1:360 STATION DR STE 300
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-8003
Mailing Address - Country:US
Mailing Address - Phone:847-802-7070
Mailing Address - Fax:
Practice Address - Street 1:360 STATION DR STE 300
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-8003
Practice Address - Country:US
Practice Address - Phone:847-802-7070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-27
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
282N00000X
IL036161859207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No282N00000XHospitalsGeneral Acute Care Hospital