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

Ico Dental, LLC

Organization Dental Clinic/Center · NPI 1144958067

Ico Dental, LLC is a Dental Clinic/Center in Chicago, Illinois. Registered with an NPI since 2022.

In the registry since
2022
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

4200 W Peterson Ave Ste 136
Chicago, IL 60646-6052
Phone: (773) 286-5286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1144958067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thaer Al Azzawi — Owner · (713) 382-8654
NPI enumeratedAugust 9, 2022
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022
Mailing address343 W Wolf Point Plz Unit 1404, Chicago, IL 60654-0103

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