Healthcare Provider Details

I. General information

NPI: 1861305633
Provider Name (Legal Business Name): SOPHIA SCHINDERLE ATR-P
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SONNY SCHINDERLE ATR-P

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1626 W MONTROSE AVE
CHICAGO IL
60613-1214
US

IV. Provider business mailing address

1626 W MONTROSE AVE
CHICAGO IL
60613-1214
US

V. Phone/Fax

Practice location:
  • Phone: 773-654-1865
  • Fax:
Mailing address:
  • Phone: 773-654-1865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: