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

Chicago Mall Dental, LLC

Organization Dentist · NPI 1801263090

Chicago Mall Dental, LLC is a Dentist in Lincolnwood, 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.

See every abbreviation used in this directory →

Practice location Address checks out

3333 W Touhy Ave
Lincolnwood, IL 60712-2721
Phone: (917) 902-9515
Show map & directions

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 number1801263090
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rostislav Krasnov — President · (786) 475-7600
Other names Lincolnwood Mall Dental
NPI enumeratedAugust 24, 2015
Last updated in NPPESAugust 24, 2015
Mailing address3333 W Touhy Ave, Lincolnwood, IL 60712-2721

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