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Individual

MS. KATHERINE KAYLOR SONNENBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5841 S MARYLAND AVE, MC 4065, CHICAGO, IL 60637-1447
(773) 702-8289
(773) 702-0666
Mailing address
5841 S MARYLAND AVE, MC 4065, CHICAGO, IL 60637-1447
(773) 702-8289
(773) 702-0666

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209014171
IL
363LP0200X
Pediatric Nurse Practitioner
71004560A
IN
363LP0200X
Pediatric Nurse Practitioner
71004560B
IN

Other

Enumeration date
08/14/2013
Last updated
12/02/2016
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