Sorah Kim

Primary specialty

DentistTaxonomy code 122300000X

License

019.033728 Issued in IL

Practice address

7250 N Cicero Ave Ste 100
Lincolnwood, IL 60712-1627

Phone

(773) 545-0007

NPI assigned

Apr 11, 2022

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

Interoperability endpoints

• Direct secure messaging: skim135742@uihealth.direct-ci.com

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1225770282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 N CICERO AVE STE 100",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121627",
            "telephone_number": "773-545-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 N CICERO AVE STE 100",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121627",
            "telephone_number": "773-545-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033728",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hirrah A Khatri, BS
• Michelle L Khounthikoumane, MA CCC-SLP
• Hyun Helen Kim, ETC
• Kathy Kim, OTD
• Kwang Kim, RPH
• Kintsugi Psychiatry Collective, PLLC
• Neal Kirschenbaum, PH.D.
• Rebecca Klinghofer
• Courtney Elizabeth Knowles, R.D., L.D.N.
• Conner T Kohen, BA

• Dentist in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.