Cicero Irving Park Dental Group

LBN: Logan Square Dental Service Center
Cicero Irving Park Dental Group is an health care organization with primary practice located at 3946 N Cicero Ave , Chicago IL 60641-2711. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Logan Square Dental Service Center can be contacted via phone (773) 283-4838, or through Li, William via phone (847) 284-0410.

Contact Information

Primary practice address
3946 N Cicero Ave Chicago IL 60641-2711
Phone: (773) 283-4838
Fax: (773) 283-4389
Website:
Map and Directions
Authorized official contact:
Name: Li, William Doctor of Dental Surgery (DDS)
Phone: (847) 284-0410

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X Illinois

Profile Details

NPI number 1508038027
LBN Legal business name Logan Square Dental Service Center
DBA Doing business as Cicero Irving Park Dental Group
Authorized official Li, William Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2008
Last updated Mar 25th, 2008 - about 16 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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