CHICAGO AVENUE DENTAL GROUP LTD.
NPI 1578708707
Clinic/Center - Dental in Chicago, IL

Active since December 02, 2008
1802 W CHICAGO AVE, CHICAGO, IL 60622(773) 276-0633(773) 276-0687 Get Directions Write a Review

NPPES record last updated: December 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chicago Avenue Dental Group Ltd. NPPES

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

CHICAGO AVENUE DENTAL GROUP LTD. (NPI 1578708707) is a healthcare organization registered as a dental in Chicago, Illinois and active in the NPI registry since December 2008. The organization lists Lee Stansbury, President, as its authorized official.

NPPES Registry Identity

NPI1578708707
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCHICAGO AVENUE DENTAL GROUP LTD.
Location Address1802 W CHICAGO AVEChicago, IL 60622-5512
Mailing Address1802 W Chicago AveChicago, IL 60622-5512 · (773) 276-0633 · Fax (773) 276-0687
Fax(773) 276-0687
Organization SubpartNo
Authorized OfficialLee StansburyPresident · (773) 276-0633
Enumeration DateDecember 2, 2008
NPI 1578708707 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 · 019016644
1802 W CHICAGO AVE, Chicago, IL 60622

Other Providers at the Same Location NPPES 6

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

Podiatrist (Foot & Ankle Surgery)
1802 W CHICAGO AVE, SUITE 8
CHICAGO, IL 60622
Clinic/Center
1802 W CHICAGO AVE
CHICAGO, IL 60622
General Practice
1802 W CHICAGO AVE, SUITE 2
CHICAGO, IL 60622
Clinic/Center (Dental)
1802 W CHICAGO AVE, SUIT 6
CHICAGO, IL 60622
General Practice
1802 W CHICAGO AVE, SUITE 2
CHICAGO, IL 60622
Dentist
1802 W CHICAGO AVE
CHICAGO, IL 60622

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 Avenue Dental Group Ltd.'s NPI number?

The NPI number for Chicago Avenue Dental Group Ltd. is 1578708707. It was assigned to this organization in the NPPES registry on December 2, 2008.

Where is Chicago Avenue Dental Group Ltd. located?

Chicago Avenue Dental Group Ltd. is located at 1802 W Chicago Ave, Chicago, IL 60622. The listed phone number is (773) 276-0633.

What is Chicago Avenue Dental Group Ltd.'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 Chicago Avenue Dental Group Ltd. was last updated on December 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.