OrganizationActive
Innovative Dental Group, LLC
NPI 1235444639 · Dentist · Chicago, IL
Provider details
- NPI number
- 1235444639
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Dimple Tejani, Member(312) 368-6400
Specialties & taxonomies
Dental Providers
Practice location
20 E Washington St
Suite 1300
Chicago, IL 60602
Phone: (312) 368-6400
Approximate (ZIP-level) locationGet directions
Mailing address
20 E Washington St
Chicago, IL 60602
Registry dates
- Enumerated
- 2010-08-10
- Last updated
- 2010-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.