Active NPI
Sonja Boone, M.D.
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1649722174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036084635
- Practice address
- 1340 S Damen Ave
Suite 400
Chicago, IL 60608-1169 - Phone
- (312) 262-2812
- NPI assigned
- Nov 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036084635 | IL | Primary |
Addresses
Primary practice location
1340 S Damen Ave
Suite 400
Chicago, IL 60608-1169
Mailing address
414 W Wisconsin St
Unit C
Chicago, IL 60614-5254
Phone (312) 697-9294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036084635 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1649722174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 W WISCONSIN ST",
"address_2": "UNIT C",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606145254",
"telephone_number": "312-697-9294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 S DAMEN AVE",
"address_2": "SUITE 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081169",
"telephone_number": "312-262-2812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "SONJA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-01",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036084635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.