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Individual
MR. TIMOTHY W SONDAG
Active
Individual
MR. TIMOTHY W SONDAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C ,RN, MSN
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
041.282100
IL
363LP2300X
Primary Care Nurse Practitioner
209.034374
IL
Other
Enumeration date
03/08/2022
Last updated
01/09/2026
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