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RAVENSWOOD DENTAL PLLC
NPI 1154112472
Clinic/Center - Dental in Chicago, IL

Active since May 15, 2025
5015 N PAULINA ST STE 330, CHICAGO, IL 60640(773) 774-3555 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ravenswood Dental Pllc NPPES

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

RAVENSWOOD DENTAL PLLC (NPI 1154112472) is a healthcare organization registered as a dental in Chicago, Illinois and active in the NPI registry since May 2025. The organization lists Theodore Siegel, Dentist, as its authorized official.

NPPES Registry Identity

NPI1154112472
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameRAVENSWOOD DENTAL PLLC
Location Address5015 N PAULINA ST STE 330Chicago, IL 60640-2756
Mailing Address1440 Sheridan Rd Unit Ul102Wilmette, IL 60091-1838 · (847) 648-1980
Phone(773) 774-3555
Organization SubpartNo
Authorized OfficialTheodore SiegelDentist · (773) 772-8400
Enumeration DateMay 15, 2025
NPPES CertifiedMay 15, 2025
✔ NPI 1154112472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
5015 N PAULINA ST STE 330, Chicago, IL 60640
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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 Ravenswood Dental PLLC's NPI number?

The NPI number for Ravenswood Dental PLLC is 1154112472. It was assigned to this organization in the NPPES registry on May 15, 2025.

Where is Ravenswood Dental PLLC located?

Ravenswood Dental PLLC is located at 5015 N Paulina St Ste 330, Chicago, IL 60640. The listed phone number is (773) 774-3555.

What is Ravenswood Dental PLLC'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 Ravenswood Dental PLLC was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.