John Gavend Sonnenberg in Chicago - Clinical
John Gavend Sonnenberg - NPI 1023090990
John Gavend Sonnenberg is a Clinical in Chicago, Illinois. John Gavend Sonnenberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Gavend Sonnenberg is 1023090990. The last update date is 2015-03-12.
John Gavend Sonnenberg's current location address is 1021 W Lawrence Ave, Chicago, Illinois. You can contact this provider via phone number 7739898313 and fax number 7739899692. The mailing address for John Gavend Sonnenberg is 1021 W Lawrence Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Gavend Sonnenberg |
|---|---|
| Address | 1021 W Lawrence Ave, Chicago, Illinois |
| Phone Number | 7739898313 |
| Fax Number | 7739899692 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1023090990 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2015-03-12 |
Provider Mailing Address Detail
| Address | 1021 W Lawrence Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606405017 |
| Phone Number | 7739898313 |
| Fax Number | 7739899692 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71005109 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to John Gavend Sonnenberg by the Centers for Medicare & Medicaid Services?
The John Gavend Sonnenberg has been assigned the NPI (National Provider Identifier) 1023090990. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where John Gavend Sonnenberg is located?
The John Gavend Sonnenberg is situated at the following address: 1021 W Lawrence Ave, Chicago, IL, 606405017.
What is the John Gavend Sonnenberg's area of specialization and corresponding taxonomy classification?
The John Gavend Sonnenberg's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the John Gavend Sonnenberg receive the assignment of its 1023090990 from the Centers for Medicare & Medicaid Services?
The John Gavend Sonnenberg was issued its 1023090990 by the Centers for Medicare & Medicaid Services on 2005-11-16.
As of what date were the details pertaining to John Gavend Sonnenberg last refreshed?
The information related to the John Gavend Sonnenberg, including its address, specialty, and other relevant details, was last updated on 2015-03-12.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH