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

Chicago Mall Dental, LLC

Organization Dentist · NPI 1235507583

Chicago Mall Dental, LLC is a Dentist in North Riverside, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
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

7501 W Cermak Rd
North Riverside, IL 60546-1438
Phone: (917) 902-9515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.028976 (IL)

Record details

NPI number1235507583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rostislav Krasnov — President · (917) 902-9515
Other names North Riverside Park Mall Dental
NPI enumeratedSeptember 3, 2015
Last updated in NPPESSeptember 3, 2015
Mailing address7501 W Cermak Rd, North Riverside, IL 60546-1438

Other providers in North Riverside