Individual
CHANDIA SORSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 E 130TH ST, CHICAGO, IL 60628-6908
(773) 253-0691
Mailing address
1029 E 130TH ST, CHICAGO, IL 60628-6908
(773) 253-0691
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036149173
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2012
Last updated
08/07/2019
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