OrganizationActive
Chicago Mall Dental, LLC
NPI 1235507583 · Dentist · North Riverside, IL
Chicago Mall Dental, LLC is a Dentist organization in North Riverside, IL (NPI 1235507583).
Provider details
- NPI number
- 1235507583
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Rostislav Krasnov, President(917) 902-9515
- License
- 019.028976 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 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
7501 W Cermak Rd
North Riverside, IL 60546-1438
Phone: (917) 902-9515
Street-level locationGet directions
Mailing address
7501 W Cermak Rd
North Riverside, IL 60546-1438
Other names (DBA / former)
- Doing business as
- North Riverside Park Mall Dental
Registry dates
- Enumerated
- 2015-09-03
- Last updated
- 2015-09-03
Frequently asked questions
- What is Chicago Mall Dental, LLC's NPI number?
- Chicago Mall Dental, LLC's National Provider Identifier (NPI) is 1235507583, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chicago Mall Dental, LLC?
- Chicago Mall Dental, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Chicago Mall Dental, LLC located?
- Chicago Mall Dental, LLC's practice location on file with NPPES is 7501 W Cermak Rd, North Riverside, IL 60546-1438.
- What is Chicago Mall Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Chicago Mall Dental, LLC is (917) 902-9515.
- Who is the authorized official for Chicago Mall Dental, LLC?
- The authorized official listed on Chicago Mall Dental, LLC's NPPES record is Rostislav Krasnov, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chicago Mall Dental, LLC's NPI active?
- Yes — Chicago Mall Dental, LLC's NPI (1235507583) is active in the NPPES registry as of the last update on 2015-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.