Healthcare Provider Details

I. General information

NPI: 1528988243
Provider Name (Legal Business Name): SONYA ANN GRIFFIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 S WABASH AVE UNIT 720
CHICAGO IL
60616-2065
US

IV. Provider business mailing address

1919 S WABASH AVE UNIT 720
CHICAGO IL
60616-2065
US

V. Phone/Fax

Practice location:
  • Phone: 708-739-4241
  • Fax:
Mailing address:
  • Phone: 708-739-4241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberLD9122325
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: