Dr Soghra Sorouri, is a
Dentist based in Lincolwood, Illinois. Dr Soghra Sorouri is licensed to practice in Illinois (license number 019-024208) and her current practice location is
6838 N. Kilpatrick Ave, Lincolwood, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 329-7719.
NPI number for Dr Soghra Sorouri is 1447640081 and her current mailing address is 6838 N Kilpatrick Ave, Lincolnwood, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447640081.
Healthcare Provider's Profile
Full Name | Dr Soghra Sorouri |
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Gender | Female |
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Speciality | Dentist |
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Location | 6838 N. Kilpatrick Ave, Lincolwood, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447640081
- Provider Enumeration Date: 02/04/2015
- Last Update Date: 02/04/2015
Medical Identifiers
Medical identifiers for Dr Soghra Sorouri such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447640081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 019-024208 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Soghra Sorouri is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Soghra Sorouri, 6838 N Kilpatrick Ave, Lincolnwood, IL 60712-2437 Ph: () - | Dr Soghra Sorouri, 6838 N. Kilpatrick Ave, Lincolwood, IL 60712 Ph: (847) 329-7719 |
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