Provider Demographics
NPI:1831072974
Name:MARRUFO-GONZALEZ, SOFIA ALEJANDRA (MS, MA)
Entity type:Individual
Prefix:
First Name:SOFIA
Middle Name:ALEJANDRA
Last Name:MARRUFO-GONZALEZ
Suffix:
Gender:F
Credentials:MS, MA
Other - Prefix:
Other - First Name:SOFIA
Other - Middle Name:ALEJANDRA
Other - Last Name:MARRUFO CEDENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, MA
Mailing Address - Street 1:1725 W HARRISON ST STE 308
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3844
Mailing Address - Country:US
Mailing Address - Phone:312-563-1000
Mailing Address - Fax:
Practice Address - Street 1:1725 W HARRISON ST STE 1129
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3841
Practice Address - Country:US
Practice Address - Phone:312-563-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL247000209170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS