SONRISA CCHC CAPITATION LLC

CHICAGO, IL
NPI1053988204
Entity TypeOrganization
Authorized ContactJASON K KORKUS
Owner/President
312-722-6460
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2021-06-07
Last Update Date2021-06-07
Business Address
SONRISA CCHC CAPITATION LLC
9718 S HALSTED ST
CHICAGO, IL 60628-1007
Phone number: 872-703-3032
Mailing Address
SONRISA CCHC CAPITATION LLC
3520 S MORGAN ST STE 207-208
CHICAGO, IL 60609-1533
Phone number: 312-722-6460
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