ICO DENTAL, LLC
NPI 1144958067
Clinic/Center - Dental in Chicago, IL

Q: What is Ico Dental, LLC's NPI number?

The NPI number for Ico Dental, LLC is 1144958067. It was assigned to this organization in the NPPES registry on August 9, 2022.

Q: What is Ico Dental, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Q: When was this NPI record last updated?

The NPPES record for Ico Dental, LLC was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2022

4200 W PETERSON AVE STE 136, CHICAGO, IL 60646(773) 286-5286 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ico Dental, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICO DENTAL, LLC (NPI 1144958067) is a healthcare organization registered as a dental in Chicago, Illinois and active in the NPI registry since August 2022. The organization lists Thaer Al Azzawi, Owner, as its authorized official.

NPPES Registry Identity

NPI1144958067

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameICO DENTAL, LLC

Location Address4200 W PETERSON AVE STE 136Chicago, IL 60646-6052

Mailing Address343 W Wolf Point Plz Unit 1404Chicago, IL 60654-0103 · (713) 382-8654

Phone(773) 286-5286

Organization SubpartNo

Authorized OfficialThaer Al AzzawiOwner · (713) 382-8654

Enumeration DateAugust 9, 2022

NPPES CertifiedAugust 9, 2022

✔ NPI 1144958067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

4200 W PETERSON AVE STE 136, Chicago, IL 60646

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINTY DENTAL BOUTIQUE

Clinic/Center (Dental)

4200 W PETERSON AVE STE 136
CHICAGO, IL 60646

Cook County (773) 286-5286

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ico Dental, LLC's NPI number?

The NPI number for Ico Dental, LLC is 1144958067. It was assigned to this organization in the NPPES registry on August 9, 2022.

Where is Ico Dental, LLC located?

Ico Dental, LLC is located at 4200 W Peterson Ave Ste 136, Chicago, IL 60646. The listed phone number is (773) 286-5286.

What is Ico Dental, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Ico Dental, LLC was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.