MEDICARE: DR. JOHN GAVEND SONNENBERG PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	071005109	IL

General Provider Information

NPI Number	:	1023090990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN GAVEND SONNENBERG PHD

Provider Business Mailing Address
First Line	:	1021 W LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5017
Country	:	US
Telephone Number	:	773-989-8313
Fax Number	:	773-989-9692

Provider Business Practice Location Address
First Line	:	1021 W LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5017
Country	:	US
Telephone Number	:	773-989-8313
Fax Number	:	773-989-9692

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	03/12/2015

Similar Medicare Providers

1073514972 — TERESA J SAVINO NP
Practice Location Address:

1015 W LAWRENCE AVE , 2ND FLOOR
CHICAGO, IL
60640-5017

Practice Phone: 773-751-1704
Practice Fax: 773-751-4175

1184625857 — JEFFERY PAUL STONE DC
Practice Location Address:

1015 W LAWRENCE AVE , 2ND FLOOR
CHICAGO, IL
60640-5017

Practice Phone: 773-751-1704
Practice Fax: 773-751-4175

1801888193 — DIANE JUDGE NP
Practice Location Address:

1015 W LAWRENCE AVE
CHICAGO, IL
60640-5017

Practice Phone: 773-751-1704
Practice Fax: 773-751-4175

1134196231 — STEPHANIE L LUTHER M.D.
Practice Location Address:

1015 W LAWRENCE AVE
CHICAGO, IL
60640-5017

Practice Phone: 773-751-1859
Practice Fax:

1215946603 — DR. FELIKS S MAVASHEV MD
Practice Location Address:

1007 W LAWRENCE AVE
CHICAGO, IL
60640-5017

Practice Phone: 773-271-1500
Practice Fax: 773-271-2048

1790859213 — PHARMCHEMETICS INC
Practice Location Address:

1001 W LAWRENCE AVE
CHICAGO, IL
60640-5017

Practice Phone: 773-561-2288
Practice Fax: 773-561-5332

Directions to “ DR. JOHN GAVEND SONNENBERG PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.