Individual
MS. HAIDI SORIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5139 DEMPSTER ST, UNIT A, SKOKIE, IL 60077-1802
(847) 414-0291
Mailing address
5139 DEMPSTER ST, UNIT A, SKOKIE, IL 60077-1802
(847) 414-0291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070011421
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273348633
BCBS OF ILLINOIS
IL
05
—
273348633
—
IL
Enumeration date
09/27/2010
Last updated
09/27/2010
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