| NPI | 1134432537 |
|---|---|
| Former Legal Business Name | WAITES SORKIN CENTER FOR COMPREHENSIVE PSYCHOLOGICAL SERVICES, LLC. |
| Entity Type | Organization |
| Authorized Contact | DANIEL J SORKIN Licensed Clinical Psychologist 224-688-7798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007898) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071007898) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2011-06-10 |