DEBORAH MICHELLE SONTAG – Family Medicine Physician, NPI 1104012855

DEBORAH MICHELLE SONTAG is a healthcare provider. based in Chicago, Illinois. specializing in Family Medicine Physician. They hold a License No. 209006758 (IL). The NPI Number for DEBORAH MICHELLE SONTAG is 1104012855

Main info

Female
Name
DEBORAH MICHELLE SONTAG
NPI
1104012855
Phone
(312) 666-3494
Address
1701 W SUPERIOR ST
Enumeration Date
17 September 2007
Last Update Date
19 November 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for DEBORAH MICHELLE SONTAG

  • Erie Neighborhood House, 1701, West Superior Street, Ukrainian Village, West Town, Chicago, Cook County, Illinois, 60622, United States

    CHICAGO, IL 606225646

    Phone: (312) 666-3494

    Type: Mailing

  • 2734-2750, West North Avenue, Humboldt Park, West Town, Chicago, Cook County, Illinois, 60302, United States

    CHICAGO, IL 606475247

    Phone: (312) 666-3494

    Type: Location

  • 2650 RIDGE AVE STE 1223

    EVANSTON, IL 602011700

    Phone: (847) 570-2040

    Fax: (847) 733-5315

    Type: Mailing

  • 2750 W North Ave

    Chicago, IL 606475247

    Phone: (312) 666-3494

    Type: Location

  • 1600 DODGE AVE

    EVANSTON, IL 602013449

    Phone: (847) 424-7265

    Fax: (847) 492-5809

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071220000397INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60622)

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Reviews

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Frequently asked questions

What federal number belongs to DEBORAH MICHELLE SONTAG?
The federal identifier for DEBORAH MICHELLE SONTAG is NPI 1104012855.
Is DEBORAH MICHELLE SONTAG currently active in the NPI registry?
CMS-published data lists DEBORAH MICHELLE SONTAG as an active registrant.
What kind of provider is DEBORAH MICHELLE SONTAG?
The page reflects Family Medicine Physician for DEBORAH MICHELLE SONTAG. Clinical services aligned with this taxonomy classification.
Does DEBORAH MICHELLE SONTAG practice in Illinois?
You will see Chicago, Illinois on file for DEBORAH MICHELLE SONTAG alongside any extra practice locations.
What if Chicago, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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