Provider Demographics
NPI:1689987109
Name:SUKENICK, SONIA (LCSW)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:SUKENICK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W MONROE ST
Mailing Address - Street 2:SUITE 1505
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-1967
Mailing Address - Country:US
Mailing Address - Phone:312-263-9989
Mailing Address - Fax:773-751-2250
Practice Address - Street 1:100 W MONROE ST
Practice Address - Street 2:SUITE 1505
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-1967
Practice Address - Country:US
Practice Address - Phone:312-263-9989
Practice Address - Fax:773-751-2250
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490049991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical