OrganizationActive
Ico Dental, LLC
NPI 1144958067 · Dental Clinic/Center · Chicago, IL
Ico Dental, LLC is a Dental Clinic/Center organization in Chicago, IL (NPI 1144958067).
Provider details
- NPI number
- 1144958067
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thaer Al Azzawi, Owner(713) 382-8654
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
4200 W Peterson Ave Ste 136
Chicago, IL 60646-6052
Phone: (773) 286-5286
Street-level locationGet directions
Mailing address
343 W Wolf Point Plz Unit 1404
Chicago, IL 60654-0103
Registry dates
- Enumerated
- 2022-08-09
- Last updated
- 2022-08-09
- Certified
- 2022-08-09
Frequently asked questions
- What is Ico Dental, LLC's NPI number?
- Ico Dental, LLC's National Provider Identifier (NPI) is 1144958067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ico Dental, LLC?
- Ico Dental, LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ico Dental, LLC located?
- Ico Dental, LLC's practice location on file with NPPES is 4200 W Peterson Ave Ste 136, Chicago, IL 60646-6052.
- What is Ico Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ico Dental, LLC is (773) 286-5286.
- Who is the authorized official for Ico Dental, LLC?
- The authorized official listed on Ico Dental, LLC's NPPES record is Thaer Al Azzawi, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ico Dental, LLC's NPI active?
- Yes — Ico Dental, LLC's NPI (1144958067) is active in the NPPES registry as of the last update on 2022-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.