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RADKHAN LELAND DENTAL INC. NPI 1194948794


NPI Information

NPI: 1194948794
Provider Name: RADKHAN LELAND DENTAL, INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1945 W WILSON AVE
SUITE 5106
CHICAGO, IL
ZIP 60640
Phone: (773) 275-8855
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RADKHAN LELAND DENTAL, INC. 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. RADKHAN LELAND DENTAL, INC. NPI is 1194948794. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1945 W WILSON AVE
SUITE 5106
CHICAGO, IL
ZIP 60640-255
Phone: (773) 275-8855
Fax: (773) 275-8822

The provider's authorized official is Tipo Akhtar Khan .
The authorized official title is Dentist and has the following contact phone number (773) 275-8855.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeILLINOISYes

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: 4/28/2024

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