Lincolnwood Mall Dental

LBN: Chicago Mall Dental Associates, Llc
Lincolnwood Mall Dental is an health care organization with primary practice located at 3333 W Touhy Ave Unit G01 , Lincolnwood IL 60712-2753. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Chicago Mall Dental Associates, Llc can be contacted via phone (847) 807-7601, or through Krasnov, Rostislav via phone (786) 475-7600.

Contact Information

Primary practice address
3333 W Touhy Ave Unit G01 Lincolnwood IL 60712-2753
Phone: (847) 807-7601
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Krasnov, Rostislav
Phone: (786) 475-7600

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1700397031
LBN Legal business name Chicago Mall Dental Associates, Llc
DBA Doing business as Lincolnwood Mall Dental
Authorized official Krasnov, Rostislav
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2017
Last updated Oct 13th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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