Provider Demographics
NPI:1588812838
Name:SOKOLOWSKI, DORA
Entity Type:Individual
Prefix:
First Name:DORA
Middle Name:
Last Name:SOKOLOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12122 S 70TH AVE
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1505
Mailing Address - Country:US
Mailing Address - Phone:312-720-1095
Mailing Address - Fax:
Practice Address - Street 1:12122 S 70TH AVE
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1505
Practice Address - Country:US
Practice Address - Phone:312-720-1095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter