MEDICARE: ELIZABETH SONNEVELD LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	178.022935	IL

General Provider Information

NPI Number	:	1538017868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH SONNEVELD LPC

Provider Business Mailing Address
First Line	:	265 STEBBINGS CT STE 1
Second Line	:
City	:	BRADLEY
State	:	IL
Zip	:	60915-1282
Country	:	US
Telephone Number	:	815-200-8653
Fax Number	:	815-352-4141

Provider Business Practice Location Address
First Line	:	265 STEBBINGS CT STE 1
Second Line	:
City	:	BRADLEY
State	:	IL
Zip	:	60915-1282
Country	:	US
Telephone Number	:	815-200-8653
Fax Number	:	815-352-4141

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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