| Erin Soruco Pllc | |
|
1569 Sherman Ave Ste 200 Evanston IL 60201-4486 | |
| (847) 497-5170 | |
| Not Available |
| Full Name | Erin Soruco Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1569 Sherman Ave Ste 200, Evanston, Illinois |
| Authorized Official Name and Position | Erin Soruco (OWNER) |
| Authorized Official Contact | 5048131237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Soruco Pllc 1233 Cleveland St Wilmette IL 60091-1324 Ph: (504) 813-1237 | Erin Soruco Pllc 1569 Sherman Ave Ste 200 Evanston IL 60201-4486 Ph: (847) 497-5170 |
| NPI Number | 1659198471 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659198471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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