Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chicago Mall Dental Associates, LLC

Organization Dentist · NPI 1700397031

Chicago Mall Dental Associates, LLC is a Dentist in Lincolnwood, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3333 W Touhy Ave Unit G01
Lincolnwood, IL 60712-2753
Phone: (847) 807-7601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (IL)

Record details

NPI number1700397031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rostislav Krasnov — Owner · (786) 475-7600
Other names Lincolnwood Mall Dental
NPI enumeratedOctober 13, 2017
Last updated in NPPESOctober 13, 2017
Mailing address3333 W Touhy Ave Unit G01, Lincolnwood, IL 60712-2753

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