Individual
NICKLAUS JOHN SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Taxonomy
Speciality
Code
Description
License number
State
1835I0206X
Infectious Diseases Pharmacist
Primary
051305646
IL
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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