Individual provider Active NPI

Aimee Lynn Kouris, DDS

  • General Practice Dentistry
  • Oak Brook, IL
National Provider Identifier
1447554639
Registry record updated Jan 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.025185 Issued in IL
Practice address
2000 Spring Rd Ste 502
Oak Brook, IL 60523-1873
Phone
(630) 573-7979
NPI assigned
Jan 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.025185 IL Primary

Addresses

Primary practice location

2000 Spring Rd Ste 502
Oak Brook, IL 60523-1873

Mailing address

1314 Lathrop Ave
River Forest, IL 60305-1118
Phone (312) 388-9631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.025185ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1293926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293926400000",
    "number": "1447554639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 LATHROP AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051118",
            "telephone_number": "312-388-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SPRING RD STE 502",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231873",
            "telephone_number": "630-573-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURIS",
        "first_name": "AIMEE",
        "middle_name": "LYNN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-02",
        "last_updated": "2011-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.025185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2011; 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.