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Organization
SONRISA ROGERS PARK INC
Active
Organization
SONRISA ROGERS PARK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON K KORKUS DDS (PRESIDENT)
(312) 613-1540
Entity
Organization
Contact information
Practice address
3520 S MORGAN ST, SUITE207, CHICAGO, IL 60608
(312) 613-1540
Mailing address
3520 S MORGAN ST, SUITE 207, CHICAGO, IL 60609-1533
(312) 613-1540
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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