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

Park West Family Dentistry, PC

Organization Dentist · NPI 1053753699

Park West Family Dentistry, PC is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4909 W Division St #409
Chicago, IL 60651-3161
Phone: (773) 378-4608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019027922 (IL)

Record details

NPI number1053753699
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPark West Family Dentistry, PC
Authorized official Fariha Siddiqui Imam — Dentist/Owner · (773) 880-6054
Other names Harmony Family Dental
NPI enumeratedJuly 24, 2013
Last updated in NPPESJuly 24, 2013
Mailing address4909 W Division St, 409, Chicago, IL 60651-3161

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