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

Roseland Community Hospital Association

Organization General Practice Dentistry · NPI 1265997142

Roseland Community Hospital Association is a General Practice Dentistry in Chicago, Illinois. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

45 W 111th St
Chicago, IL 60628-4200
Phone: (773) 995-3000
Fax: (773) 995-0664
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1265997142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Vais — Cfo · (773) 995-3044
Other names Roseland Community Hospital Dental Program
NPI enumeratedFebruary 5, 2019
Last updated in NPPESFebruary 5, 2019
Mailing address45 W 111th St, Chicago, IL 60628-4200

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