Provider Demographics
NPI:1780707885
Name:SORVEIN PRIETO,M.D
Entity type:Organization
Organization Name:SORVEIN PRIETO,M.D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY PRACTICE
Authorized Official - Prefix:DR
Authorized Official - First Name:SORVEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIETO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-619-0127
Mailing Address - Street 1:750 PEARSON ST
Mailing Address - Street 2:507
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-9211
Mailing Address - Country:US
Mailing Address - Phone:773-619-0127
Mailing Address - Fax:
Practice Address - Street 1:770 E NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-3464
Practice Address - Country:US
Practice Address - Phone:847-342-0351
Practice Address - Fax:847-454-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care