Provider Demographics
NPI:1477580900
Name:SUNDBERG, MAY M (MSN,APRN,BC)
Entity Type:Individual
Prefix:MS
First Name:MAY
Middle Name:M
Last Name:SUNDBERG
Suffix:
Gender:F
Credentials:MSN,APRN,BC
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Mailing Address - Street 1:3600 N LAKE SHORE DR
Mailing Address - Street 2:#2415
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-4684
Mailing Address - Country:US
Mailing Address - Phone:773-327-8620
Mailing Address - Fax:
Practice Address - Street 1:5TH AVENUE AND ROOSEVELT ROAD
Practice Address - Street 2:(116A3)
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141
Practice Address - Country:US
Practice Address - Phone:708-202-3619
Practice Address - Fax:708-202-2108
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2024-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult