OrganizationActive
Park West Family Dentistry, PC
NPI 1053753699 · Dentist · Chicago, IL
Park West Family Dentistry, PC is a Dentist organization in Chicago, IL (NPI 1053753699).
Provider details
- NPI number
- 1053753699
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Park West Family Dentistry, PC
- Organization subpart
- Yes
- Authorized official
- Fariha Siddiqui Imam, Dentist/Owner(773) 880-6054
- License
- 019027922 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4909 W Division St
#409
Chicago, IL 60651-3161
Phone: (773) 378-4608
Street-level locationGet directions
Mailing address
4909 W Division St
Chicago, IL 60651-3161
Other names (DBA / former)
- Doing business as
- Harmony Family Dental
Registry dates
- Enumerated
- 2013-07-24
- Last updated
- 2013-07-24
Frequently asked questions
- What is Park West Family Dentistry, PC's NPI number?
- Park West Family Dentistry, PC's National Provider Identifier (NPI) is 1053753699, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park West Family Dentistry, PC?
- Park West Family Dentistry, PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Park West Family Dentistry, PC located?
- Park West Family Dentistry, PC's practice location on file with NPPES is 4909 W Division St, Chicago, IL 60651-3161.
- What is Park West Family Dentistry, PC's phone number?
- The practice phone number listed in the NPPES registry for Park West Family Dentistry, PC is (773) 378-4608.
- Who is the authorized official for Park West Family Dentistry, PC?
- The authorized official listed on Park West Family Dentistry, PC's NPPES record is Fariha Siddiqui Imam, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park West Family Dentistry, PC's NPI active?
- Yes — Park West Family Dentistry, PC's NPI (1053753699) is active in the NPPES registry as of the last update on 2013-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.