Individual
DR. KIRSTEN SORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5722
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0108710A
IN
208000000X
Pediatrics Physician
Primary
036.132407
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
036132407
IL
Other
Enumeration date
07/11/2012
Last updated
09/14/2023
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