Active NPI
LSQ Dental Specialists LLC
- Endodontics
- Chicago, IL
National Provider Identifier
1952212631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- LSQ DENTAL SPECIALISTS LLC
- Practice address
- 2500 N Lakeview Ave Apt 1102
Chicago, IL 60614-1818 - Phone
- (630) 312-9609
- NPI assigned
- Sep 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary Roman, DDS, MS
- Title
- President
- Phone
- (630) 312-9609
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary |
Addresses
Primary practice location
2500 N Lakeview Ave Apt 1102
Chicago, IL 60614-1818
Mailing address
2500 N Lakeview Ave Apt 1102
Chicago, IL 60614-1818
Phone (630) 312-9609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789344000000",
"number": "1952212631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N LAKEVIEW AVE APT 1102",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141818",
"telephone_number": "630-312-9609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N LAKEVIEW AVE APT 1102",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141818",
"telephone_number": "630-312-9609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LSQ DENTAL SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A",
"authorized_official_last_name": "ROMAN",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-312-9609",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.