Individual
DR. DEREK MICHAEL SONNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-4775
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
01086385A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
03/27/2025
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