MEDICARE: DR. DANIEL SORKIN PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1881862175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL SORKIN PSY.D.

Provider Business Mailing Address
First Line	:	830 W END CT
Second Line	:	SUITE 400
City	:	VERNON HILLS
State	:	IL
Zip	:	60061-1365
Country	:	US
Telephone Number	:	224-688-7798
Fax Number	:

Provider Business Practice Location Address
First Line	:	830 W END CT
Second Line	:	SUITE 400
City	:	VERNON HILLS
State	:	IL
Zip	:	60061-1365
Country	:	US
Telephone Number	:	224-688-7798
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2008
Last Update Date	:	03/13/2013

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