Lincolnwood Mall Dental

LBN: Chicago Mall Dental, Llc
Lincolnwood Mall Dental is an health care organization with primary practice located at 3333 W Touhy Ave , Lincolnwood IL 60712-2721. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Chicago Mall Dental, Llc can be contacted via phone (917) 902-9515, or through Krasnov, Rostislav via phone (786) 475-7600.

Contact Information

Primary practice address
3333 W Touhy Ave Lincolnwood IL 60712-2721
Phone: (917) 902-9515
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Krasnov, Rostislav Doctor of Dental Surgery (DDS)
Phone: (786) 475-7600

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.028976 Illinois

Profile Details

NPI number 1801263090
LBN Legal business name Chicago Mall Dental, Llc
DBA Doing business as Lincolnwood Mall Dental
Authorized official Krasnov, Rostislav Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2015
Last updated Aug 24th, 2015 - about 11 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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