OrganizationActive
Family Dental of Roscoe Inc
NPI 1205285293 · Dental Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1205285293
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Olena Obeid, Ceo(773) 679-2419
- License
- 019.028238 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
3332 N Western Ave
Chicago, IL 60618-6213
Phone: (773) 679-2419
Street-level locationGet directions
Mailing address
3332 N Western Ave
Chicago, IL 60618-6213
Registry dates
- Enumerated
- 2016-06-09
- Last updated
- 2016-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.