LOGAN SQUARE DENTAL SERVICE CENTER NPI 1508038027

NPI Information

NPI: 1508038027
Provider Name: LOGAN SQUARE DENTAL SERVICE CENTER

Doing Business As: CICERO IRVING PARK DENTAL GROUP

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3946 N CICERO AVE
CHICAGO, IL
ZIP 60641
Phone: (773) 283-4838
Get Directions

LOGAN SQUARE DENTAL SERVICE CENTER is a dental clinic center in Chicago, IL. LOGAN SQUARE DENTAL SERVICE CENTER NPI is 1508038027. The provider is registered as an organization entity type.
The provider Is Doing Business As Cicero Irving Park Dental Group.

The provider's business location address is:

3946 N CICERO AVE
CHICAGO, IL
ZIP 60641-711
Phone: (773) 283-4838
Fax: (773) 283-4389

The provider's authorized official is William Li .
The authorized official title is President and has the following contact phone number (847) 284-0410.

The enumeration date for this NPI number is 3/25/2008 and was last updated on 3/25/2008.

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
1	261QD0000X	Clinic/Center	Dental		ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »