NPIMap

Individual provider Active NPI

Lydia M Sosenko, D.D.S., A.BDSM

  • General Practice Dentistry
  • S Barrington, IL
National Provider Identifier
1801002506
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.022305 Issued in IL
Practice address
1 Executive CT Ste 3
S Barrington, IL 60010-9533
Phone
(630) 218-1920
Fax
(815) 744-7059
NPI assigned
May 16, 2007
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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 019.022305 IL Primary

Addresses

Primary practice location

1 Executive CT Ste 3
S Barrington, IL 60010-9533

Mailing address

14831 W 159TH St Ste 1
Homer Glen, IL 60491-9008
Phone (630) 218-1920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080416000566 IL Practitioner - DentistPractitioner - Oral Surgery 9133207194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1990
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4711 Golf Rd
Suite 912
Skokie, IL 60076-1247
Phone (847) 983-4518

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.022305ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Sleep Center Richard a Craig DDS LTD General Practice Current Accepting new patients
Dental Sleep Center Richard a Craig DDS LTD General Practice CurrentSince Jul 1, 2025 Accepting new patients
Associates in Sleep Medicine LLC PastSince May 22, 2022 Accepting new patients
Sigma Health PC PastSince Aug 4, 2005 Accepting new patients
Sherman Oaks Dental Center LLC Past Accepting new patients
Bryan a Weyneth DDS PC Dentist PastSince Sep 28, 2019 Accepting new patients

Locations

150 E Huron St
Ste 1103
Chicago, IL 60611
Phone (312) 676-9893

14831 W 159th St
Ste 1
Lockport, IL 60491
Phone (312) 676-9893

2500 S Highland Ave
Ste 220
Lombard, IL 60148
Phone (630) 218-1920

220 Channahon St
Shorewood, IL 60404
Phone (630) 218-1920

4711 Golf Rd
Ste 912
Skokie, IL 60076
Phone (847) 676-3500

1 Executive Ct
Ste 3
South Barrington, IL 60010
Phone (847) 304-6555

Organizations & group practices 6

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1801002506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14831 W 159TH ST STE 1",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919008",
            "telephone_number": "630-218-1920",
            "fax_number": "815-744-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE CT STE 3",
            "city": "S BARRINGTON",
            "state": "IL",
            "postal_code": "600109533",
            "telephone_number": "630-218-1920",
            "fax_number": "815-744-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSENKO",
        "first_name": "LYDIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S., A.BDSM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.022305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in S Barrington, IL

Sources for this page

Verify at the official NPI Registry.