CHENG LI CHIN D.D.S. NPI 1154595106

NPI Information

  • NPI: 1154595106
  • Provider Name: CHENG LI CHIN D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 2021 N WESTERN AVE
    CHICAGO, IL
    ZIP 60647
  • Phone: (773) 772-4114

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NPI Details

CHENG LI CHIN D.D.S. is a general practice dentist in Chicago, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CHENG LI CHIN D.D.S. NPI is 1154595106. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2021 N WESTERN AVE
CHICAGO, IL
ZIP 60647-103
Phone: (773) 772-4114
Fax: (773) 772-4114

The provider's authorized official is Cheng Li Chin .
The authorized official title is Dentist and has the following contact phone number (773) 772-4114.

The enumeration date for this NPI number is 4/21/2008 and was last updated on 4/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice19015811ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========6009101MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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