Individual
SONIA LYNNE RUBENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1321 W NELSON ST, CHICAGO, IL 60657-4215
(312) 623-9882
(312) 623-9882
Mailing address
1321 W NELSON ST, CHICAGO, IL 60657-4215
(312) 623-9882
(312) 623-9882
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071.010692
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841281805
—
KS
Enumeration date
07/10/2012
Last updated
10/06/2023
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