Healthcare Provider Details

I. General information

NPI: 1376450403
Provider Name (Legal Business Name): SOPHIA FINIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7222 W CERMAK RD UNIT 410
NORTH RIVERSIDE IL
60546-1422
US

IV. Provider business mailing address

818 N WOLCOTT AVE APT 201
CHICAGO IL
60622-0387
US

V. Phone/Fax

Practice location:
  • Phone: 708-442-0023
  • Fax:
Mailing address:
  • Phone: 302-993-6221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number242.018773
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: