Provider Demographics
NPI:1265452940
Name:SONENTHAL, KATHY RUBINER (MD)
Entity type:Individual
Prefix:DR
First Name:KATHY
Middle Name:RUBINER
Last Name:SONENTHAL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2760 PRISCILLA AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-1340
Mailing Address - Country:US
Mailing Address - Phone:846-266-7531
Mailing Address - Fax:847-266-0311
Practice Address - Street 1:JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY
Practice Address - Street 2:1901 W. HARRISON ST.
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3714
Practice Address - Country:US
Practice Address - Phone:312-864-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-080078207R00000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILG83453Medicare UPIN