Individual
DR. JOHN GAVEND SONNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1021 W LAWRENCE AVE, CHICAGO, IL 60640-5017
(773) 989-8313
(773) 989-9692
Mailing address
1021 W LAWRENCE AVE, CHICAGO, IL 60640-5017
(773) 989-8313
(773) 989-9692
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005109
IL
Other
Enumeration date
11/16/2005
Last updated
03/12/2015
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