Provider Demographics
NPI:1841866605
Name:SONAR PHYSICIANS MINNESOTA PC
Entity type:Organization
Organization Name:SONAR PHYSICIANS MINNESOTA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:KOSINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-370-8878
Mailing Address - Street 1:350 N ORLEANS ST STE 9000N
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-1701
Mailing Address - Country:US
Mailing Address - Phone:847-370-8878
Mailing Address - Fax:
Practice Address - Street 1:1515 N ASTOR ST APT 21C
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-6711
Practice Address - Country:US
Practice Address - Phone:847-370-8878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty