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CHICAGO STAR DENTAL PC
NPI 1164378600
Dentist - General Practice in Chicago, IL

Active since March 06, 2026
3641 E 108TH ST, CHICAGO, IL 60617(708) 351-4562 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chicago Star Dental Pc NPPES

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

CHICAGO STAR DENTAL PC (NPI 1164378600) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since March 2026. The organization lists Yaqin Dawoud, Owner, as its authorized official.

NPPES Registry Identity

NPI1164378600
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHICAGO STAR DENTAL PC
Location Address3641 E 108TH STChicago, IL 60617-6951
Mailing Address3641 E 108th StChicago, IL 60617-6951
Phone(708) 351-4562
Organization SubpartNo
Authorized OfficialYaqin DawoudOwner · (708) 351-4562
Enumeration DateMarch 6, 2026
NPPES CertifiedMarch 6, 2026
✔ NPI 1164378600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3641 E 108TH ST, Chicago, IL 60617
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MOHANA HEALTH CARE LTD
Family Medicine
3641 E 108TH ST
CHICAGO, IL 60617
Cook County (773) 731-5466
MARY K PALMORE MD SC
Obstetrics & Gynecology
3641 E 108TH ST
CHICAGO, IL 60617
Cook County (773) 731-5466
MOHANA URGENT CARE LTD
Clinic/Center (Urgent Care)
3641 E 108TH ST, STE B
CHICAGO, IL 60617
Cook County (773) 731-5466
M K PALMORE MD SC
Obstetrics & Gynecology
3641 E 108TH ST
CHICAGO, IL 60617
Cook County (773) 731-5466

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 Chicago Star Dental PC's NPI number?

The NPI number for Chicago Star Dental PC is 1164378600. It was assigned to this organization in the NPPES registry on March 6, 2026.

Where is Chicago Star Dental PC located?

Chicago Star Dental PC is located at 3641 E 108th St, Chicago, IL 60617. The listed phone number is (708) 351-4562.

What is Chicago Star Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Chicago Star Dental PC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.