Individual
JOHN SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2399 N BLOOMINGTON ST, STREATOR, IL 61364-1307
(815) 672-6874
Mailing address
2399 N BLOOMINGTON ST, STREATOR, IL 61364-1307
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.040830
IL
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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