Provider Demographics
NPI:1912369570
Name:SONNABEND, HAJERAH
Entity Type:Individual
Prefix:
First Name:HAJERAH
Middle Name:
Last Name:SONNABEND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HAJERAH
Other - Middle Name:
Other - Last Name:HAMEEDUDDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9977 WOODS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1057
Mailing Address - Country:US
Mailing Address - Phone:847-663-8540
Mailing Address - Fax:
Practice Address - Street 1:363 FREMONT ST STE 307
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3391
Practice Address - Country:US
Practice Address - Phone:269-245-8190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.069192207R00000X
IL036147627207RE0101X
MI5101027585207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine