Individual provider Active NPI

Linda Ruan

  • Pediatric Dentistry
  • Chicago, IL
National Provider Identifier
1073197265
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
021003284 Issued in IL
Practice address
2062 N Milwaukee Ave
Chicago, IL 60647-4002
Phone
(773) 384-3500
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 021003284 IL Primary

Addresses

Primary practice location

2062 N Milwaukee Ave
Chicago, IL 60647-4002

Mailing address

2062 N Milwaukee Ave
Chicago, IL 60647-4002

Other practice location 1

7447 W Talcott Ave Ste 566
Chicago, IL 60631-3716
Phone (773) 792-2347

Other practice location 2

3012 W Fullerton Ave
Chicago, IL 60647-2940
Phone (773) 384-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.033239ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Smiles Orthodontics and Pediatric Dentistry Past Accepting new patients
Childrens Dentistry Joseph F Zucchero DDS Ms Pediatric Dentistry Past Accepting new patients
Young Esthetics PastSince Apr 6, 2025 Accepting new patients
Flavia Lamberghini PC Pediatric Dentistry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lruan96106@uihealth.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1073197265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2062 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2062 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474002",
            "telephone_number": "773-384-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7447 W Talcott Ave Ste 566",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606313716",
            "country_code": "US",
            "telephone_number": "773-792-2347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3012 W Fullerton Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606472940",
            "country_code": "US",
            "telephone_number": "773-384-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUAN",
        "first_name": "LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "021003284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.