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

Wicker Park Dental, Ltd

Organization Dentist · NPI 1003962192

Wicker Park Dental, Ltd is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1738 W North Ave
Chicago, IL 60622
Phone: (773) 276-5566
Fax: (773) 276-8780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 060010054 (IL)
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1003962192
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nidza Alicea — Office Manager · (773) 235-0980
Other names Wicker Park Dental Group
NPI enumeratedJanuary 25, 2007
Last updated in NPPESFebruary 9, 2009
Mailing address1738 W. North Ave, Chicago, IL 60622

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