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

Ravenswood Dental PLLC

Organization Dental Clinic/Center · NPI 1154112472

Ravenswood Dental PLLC is a Dental Clinic/Center in Chicago, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5015 N Paulina St Ste 330
Chicago, IL 60640-2756
Phone: (773) 774-3555
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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 number1154112472
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Siegel — Dentist · (773) 772-8400
NPI enumeratedMay 15, 2025
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing address1440 Sheridan Rd Unit Ul102, Wilmette, IL 60091-1838

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