Provider Demographics
NPI:1609689082
Name:MATHUR, SONIA RANI (LPC)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:RANI
Last Name:MATHUR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3270 N LAKE SHORE DR APT 2B
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-3926
Mailing Address - Country:US
Mailing Address - Phone:614-329-0994
Mailing Address - Fax:
Practice Address - Street 1:30 N MICHIGAN AVE STE 1008
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3751
Practice Address - Country:US
Practice Address - Phone:312-857-8659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.020715101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health