Provider Demographics
NPI:1164433785
Name:SONDHEIMER, STUART PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:PHILIP
Last Name:SONDHEIMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9150 CRAWFORD AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1770
Mailing Address - Country:US
Mailing Address - Phone:847-677-2794
Mailing Address - Fax:847-677-2833
Practice Address - Street 1:9150 CRAWFORD AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1770
Practice Address - Country:US
Practice Address - Phone:847-677-2794
Practice Address - Fax:847-677-2833
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-066719207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK15285Medicare PIN
ILK15284Medicare PIN
ILK15286Medicare PIN