Provider Demographics
NPI:1386937670
Name:NOORANI, SUNENA ALI
Entity type:Individual
Prefix:MRS
First Name:SUNENA
Middle Name:ALI
Last Name:NOORANI
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:SUNENA
Other - Middle Name:ALI
Other - Last Name:KHOWAJA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8548 SAINT LOUIS AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-2314
Mailing Address - Country:US
Mailing Address - Phone:224-623-4933
Mailing Address - Fax:
Practice Address - Street 1:8548 SAINT LOUIS AVE
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-2314
Practice Address - Country:US
Practice Address - Phone:224-623-4933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities