Lynn Kholoki, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019034931 Issued in IL

Practice address

2861 83Rd St
Darien, IL 60561-5612

Phone

(630) 427-1800

NPI assigned

Dec 23, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1063220085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 YORKTOWN SHOPPING CTR UNIT 464",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485649",
            "telephone_number": "219-670-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 83RD ST",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615612",
            "telephone_number": "630-427-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOLOKI",
        "first_name": "LYNN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12014601A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019034931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin L Kelly, LMSW
• Robyn Kelly, DAC
• Kristina Kesic
• Anita Lall Kewalramani, MD
• Nahed Khayyat
• Esther J Kim, LCSW
• Via Kim
• Angela Kirchner
• Robert J Klafeta, D.D.S.
• Sarah Komarnycky, RBT

• General Practice Dentistry in Darien, IL
• Providers in Darien, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.