Lawndale Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019030260 Issued in IL

Legal business name

LAWNDALE DENTAL LLC

Practice address

3600 W Roosevelt Rd
Chicago, IL 60624-4225

Phone

(773) 565-4042

NPI assigned

Jan 17, 2017

Last updated

Jan 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Syed Rehman, DMDNPI 1316321722

Title

Ceo

Phone

(847) 915-2827

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Syed Rehman, DMD

  • Dentist
  • Mount Prospect, IL
  • NPI 1316321722
  Authorized official Same address or phone

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1285170084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244225",
            "telephone_number": "773-565-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244225",
            "telephone_number": "773-565-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWNDALE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "REHMAN",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-915-2827",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawndale Christian Health Center
• Lawndale Christian Health Center (Lawndale Christian Health Center Pharmacy)
• Lawndale Christian Health Center
• Lawndale Christian Health Center
• Lawndale Christian Health Center
• Lawndale Dental, P.C.
• Lawrence Dental Group P.C.
• Lawrence E Gluskin MD SC
• Lawrence Eye Care LLC
• Lawrence H Iteld, MD, LLC (Lincoln Park Plastic Surgery)

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.