Healthcare Provider Details

I. General information

NPI: 1194673608
Provider Name (Legal Business Name): SONALI C SHRESTHA PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 NATIONAL PKWY STE 20
SCHAUMBURG IL
60173-5150
US

IV. Provider business mailing address

2150 E LAKE COOK RD
BUFFALO GROVE IL
60089-1862
US

V. Phone/Fax

Practice location:
  • Phone: 630-428-7890
  • Fax:
Mailing address:
  • Phone: 773-707-6072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209035335
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: