Individual
DR. JOHN CHRISTIAN SORENSEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
425 HUEHL RD, NORTHBROOK, IL 60062-2319
(847) 504-5000
Mailing address
18602 ROGERS PL, SAN ANTONIO, TX 78258-4643
(210) 764-1786
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P1352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081896501
—
TX
05
—
121550108
—
TX
01
—
8104M6
BLUE CROSS BLUE SHIELD
TX
05
—
F000357E7
—
TX
01
—
P01571984
RAILROAD MEDICARE
TX
Enumeration date
09/28/2005
Last updated
01/25/2016
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