Individual
DR. MEHRAN R. SOROURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., DACO, CCSP
Contact information
Practice address
2051 W BELMONT AVE, CHICAGO, IL 60618-6467
(773) 525-8100
(773) 525-8130
Mailing address
2051 W BELMONT AVE, CHICAGO, IL 60618-6467
(773) 525-8100
(773) 525-8130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009498
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632755
BCBS
IL
Enumeration date
04/09/2007
Last updated
03/02/2015
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