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WICKER PARK DENTAL LLC
NPI 1326349770
Clinic/Center - Dental in Chicago, IL

Active since November 16, 2010
1738 W NORTH AVE, CHICAGO, IL 60622(773) 276-5566(773) 276-8780 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wicker Park Dental Llc NPPES

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

WICKER PARK DENTAL LLC (NPI 1326349770) is a healthcare organization registered as a dental in Chicago, Illinois and active in the NPI registry since November 2010. The organization lists Susan Stuart Brown, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1326349770
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWICKER PARK DENTAL LLC
Location Address1738 W NORTH AVEChicago, IL 60622-2147
Mailing Address1738 W North AveChicago, IL 60622-2147 · (773) 276-5566 · Fax (773) 276-8780
Phone(773) 276-5566
Fax(773) 276-8780
Organization SubpartNo
Authorized OfficialSusan Stuart BrownOffice Manager · (773) 276-5566
Enumeration DateNovember 16, 2010
✔ NPI 1326349770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in IL · 019016946
1738 W NORTH AVE, Chicago, IL 60622
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Other Providers at the Same Location NPPES 7

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

THERESA WESTFALLEN
Dentist (Orthodontics and Dentofacial Orthopedics)
1738 W NORTH AVE
CHICAGO, IL 60622
Cook County (773) 276-5566
WICKER PARK DENTAL, LTD
Dentist
1738 W NORTH AVE
CHICAGO, IL 60622
Cook County (773) 276-5566
DR. KRISHNA M GOPISETTY D.D.S., M.S.
Dentist
1738 W NORTH AVE
CHICAGO, IL 60622
Cook County (773) 276-5566
DR. MANASA KANNEGANTI DDS
Dentist (General Practice)
1738 W NORTH AVE
CHICAGO, IL 60622
Cook County (773) 276-5566
KRISHNA M GOPISETTY D.D.S., M.S., P.C.
Dentist
1738 W NORTH AVE
CHICAGO, IL 60622
Cook County (773) 276-5566
JAHNAVI BHAGAT
Dentist
1738 W NORTH AVE
CHICAGO, IL 60622
Cook County (773) 276-5566
DR. PHILIP D DORTCH DDS
Dentist
1738 W NORTH AVE
CHICAGO, IL 60622
Cook County (773) 276-5566

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 Wicker Park Dental LLC's NPI number?

The NPI number for Wicker Park Dental LLC is 1326349770. It was assigned to this organization in the NPPES registry on November 16, 2010.

Where is Wicker Park Dental LLC located?

Wicker Park Dental LLC is located at 1738 W North Ave, Chicago, IL 60622. The listed phone number is (773) 276-5566.

What is Wicker Park 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 Wicker Park Dental LLC was last updated on November 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.