Provider Demographics
NPI:1891585329
Name:SONRISA ARLINGTON HEIGHTS
Entity type:Organization
Organization Name:SONRISA ARLINGTON HEIGHTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:K
Authorized Official - Last Name:KORKUS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:312-925-0042
Mailing Address - Street 1:3520 S MORGAN ST STE 207
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60609-1533
Mailing Address - Country:US
Mailing Address - Phone:312-722-6460
Mailing Address - Fax:312-893-2275
Practice Address - Street 1:1768 W ALGONQUIN RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-3405
Practice Address - Country:US
Practice Address - Phone:312-722-6460
Practice Address - Fax:312-893-2275
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SONRISA DENTAL PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty