Juanita R Soukouna, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041312976 Issued in IL

Practice address

9519 Oak Park Ave
Oak Lawn, IL 60453-2136

Phone

(708) 675-0575

Fax

(708) 430-8553

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1992829972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9519 OAK PARK AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532136",
            "telephone_number": "708-675-0575",
            "fax_number": "708-766-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9519 OAK PARK AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532136",
            "telephone_number": "708-675-0575",
            "fax_number": "708-430-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUKOUNA",
        "first_name": "JUANITA",
        "middle_name": "R",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041312976",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "IL",
            "license": "041-312976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliesje Sorgeloos, M.D.
• Adel Sorial
• Kirsten Sorum, D.O.
• Sandra Soto
• Kimberly Souder, FNP
• South Suburban Injury Care
• Southside Pain Relief Center Inc
• Southside Pain Relief Center Inc
• Southwest Allergy Associates.S.C.
• Southwest Center for Gastroenterology

• Registered Nurse in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.