Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Derek Michael Sonnenberg, MD

Individual provider General Practice Physician · NPI 1366092959

Dr. Derek Michael Sonnenberg, MD is a General Practice Physician in Peoria, Illinois. Licensed in Indiana. Registered with an NPI since 2019.

Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-4775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
General Practice Physician Taxonomy 208D00000X · Licence 01086385A (IN)

Record details

NPI number1366092959
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 16, 2019
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address530 Ne Glen Oak Ave, Peoria, IL 61637-0001

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