Linda M Sommercorn, MS, DDS, RPH

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

021001922 Issued in IL

Practice address

1216 American Way Ste 104
Libertyville, IL 60048-3940

Phone

(847) 367-8084

Fax

(847) 367-8722

NPI assigned

Sep 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1063763761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31134 PRAIRIE RIDGE RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600484898",
            "telephone_number": "847-367-8084",
            "fax_number": "847-367-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 AMERICAN WAY STE 104",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483940",
            "telephone_number": "847-367-8084",
            "fax_number": "847-367-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERCORN",
        "first_name": "LINDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MS, DDS, RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019021396",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "021001922",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "021001922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Smith
• Rachael Teal Smith, EMT-P
• Cassandra Leigh Snider, PA-C
• Carla Marie Solomon
• Mark Solomon, PSY.D.
• Sonamu Wellness LLC
• Jie Song, M.D.
• Anshuman Soni, DDS
• Wilfred E Soppe, CRNA
• Marta Pedziwiatr Speakman, DDS

• Endodontics in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Endodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.