OrganizationActive
Logan Square Dental Service Center
NPI 1508038027 · Dental Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1508038027
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Li, President(847) 284-0410
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
3946 N Cicero Ave
Chicago, IL 60641-2711
Phone: (773) 283-4838
Fax: (773) 283-4389
Street-level locationGet directions
Mailing address
3946 N Cicero Ave
Chicago, IL 60641-2711
Other names (DBA / former)
- Doing business as
- Cicero Irving Park Dental Group
Registry dates
- Enumerated
- 2008-03-25
- Last updated
- 2008-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.