Natalie Korolis, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019030450 Issued in IL

Practice address

7804 W College Dr Ste 2NW
Palos Heights, IL 60463-1192

Phone

(708) 448-0400

NPI assigned

Aug 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 19, 2018 through Jul 19, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1439596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1861868671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 W COLLEGE DR STE 2NW",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631192",
            "telephone_number": "708-448-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7804 W COLLEGE DR STE 2NW",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631192",
            "telephone_number": "708-448-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROLIS",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-15",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861868671",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DirectAddress",
            "affiliation": "N",
            "address_1": "7804 W College Dr Ste 2Nw",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick M Knight, MSW
• Desire H Knox
• Matthew Scott Kominsky, MD
• Tae-Sok Kong, DDS
• Kevin E Konstant, DMD
• Joshua Koshiol, LPC
• William Kosmala, M.D.
• Adam Michael Kost, MD
• Dimitrios Kotsopulos, D.P.M.
• Krates Eye Centers PLLC

• Dentist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.