Sophia Tekle

Primary specialty

DentistTaxonomy code 122300000X

License

019.030341 Issued in IL

Practice address

9541 S Pulaski Rd
Evergreen Park, IL 60805-1911

Phone

(708) 424-2220

Fax

(708) 424-7743

NPI assigned

Jul 16, 2015

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Dreams LLC

  • Dental Clinic/Center
  • Bourbonnais, IL
  • NPI 1083092670
  NPD (past)
• Evergreen Smiles Dental

  • Dental Clinic/Center
  • Evergreen Park, IL
  • NPI 1649058728
  NPD (past)
• Michet Dental Offices P.C.

  • General Practice Dentistry
  • Evergreen Park, IL
  • NPI 1154470763
  NPD (past)
• Studio Dental, LLC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1174956155
  NPD (past)

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1538543871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9541 S PULASKI RD",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051911",
            "telephone_number": "708-424-2220",
            "fax_number": "708-424-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9541 S PULASKI RD",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051911",
            "telephone_number": "708-424-2220",
            "fax_number": "708-424-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKLE",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilynn Tape, DPT
• Destiny Makyia Taylor
• Patricia Maria Taylor, MSW, LSW
• Kelli Teegen, OTR
• Andrea Tekie, M.D.
• Ashley Thai, PA-C
• Anita Vacha Thakadiyil, M.D
• The Cardiology Group
• The Counselors' Office
• The Headache Lab

• Dentist in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.