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General NPI Number Information
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NPI Number | 1881184539
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Entity Type | Organization
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Legal Business Name | LORI L. SONNENBERG, LTD.
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Dates
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Enumeration Date | 05/17/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1431 OPUS PL STE 110
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1164
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Country | US
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Telephone | 630-442-1883
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Fax |
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Provider Business Mailing Address
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Address Line | 1431 OPUS PL STE 110
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1164
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Country | US
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Telephone | 630-442-1883
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Fax |
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Authorized Official
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Title or Position | OWNER, LICENSED SPEECH PATHOLOGIST
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Name | MS. LORI LEE SONNENBERG
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Credential | CCC-SLP
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Telephone | 630-442-1883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146.008668
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License Number State | IL
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