Provider Demographics
NPI:1760408090
Name:THOMAS, SONIA SENU (NP)
Entity Type:Individual
Prefix:MS
First Name:SONIA
Middle Name:SENU
Last Name:THOMAS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:SONIA
Other - Middle Name:
Other - Last Name:DOLFAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:9252 DEE RD
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-4254
Mailing Address - Country:US
Mailing Address - Phone:847-803-0563
Mailing Address - Fax:
Practice Address - Street 1:1901 W HARRISON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3714
Practice Address - Country:US
Practice Address - Phone:312-864-6323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-004673(41-304732363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care