Provider Demographics
NPI:1467789941
Name:SORKIN, RICHARD P
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:P
Last Name:SORKIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3831 BORDEAUX DRIVE
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-2133
Mailing Address - Country:US
Mailing Address - Phone:847-498-3534
Mailing Address - Fax:
Practice Address - Street 1:3831 BORDEAUX DRIVE
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2133
Practice Address - Country:US
Practice Address - Phone:847-498-3534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036068217207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease