Individual
NANCY R. SORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1101 LAKE ST, SUITE 310, OAK PARK, IL 60301-1085
(708) 704-3250
(708) 524-8758
Mailing address
1101 LAKE ST, SUITE 310, OAK PARK, IL 60301-1085
(708) 704-3250
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071-003799
IL
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
071-003799
IL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
11/20/2006
Last updated
11/14/2014
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