SONRISA CCHC CAPITATION LLC
NPI 1053988204
Dentist - General Practice in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

Active since June 07, 2021

9718 S HALSTED ST, CHICAGO, IL 60628(872) 703-3032(312) 893-2275 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Sonrisa Cchc Capitation Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SONRISA CCHC CAPITATION LLC (NPI 1053988204) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since June 2021. The organization lists Jason K Korkus, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1053988204

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSONRISA CCHC CAPITATION LLC

Location Address9718 S HALSTED STChicago, IL 60628-1007

Mailing Address3520 S Morgan St Ste 207-208Chicago, IL 60609-1533 · (312) 722-6460 · Fax (312) 893-2275

Phone(872) 703-3032

Fax(312) 893-2275

Organization SubpartNo

Authorized OfficialJason K KorkusOwner/president · (312) 722-6460

Enumeration DateJune 7, 2021

NPPES CertifiedJune 7, 2021

✔ NPI 1053988204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

9718 S HALSTED ST, Chicago, IL 60628

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP