OrganizationActive
Chicago Avenue Dental Group Ltd.
NPI 1578708707 · Dental Clinic/Center · Chicago, IL
Chicago Avenue Dental Group Ltd. is a Dental Clinic/Center organization in Chicago, IL (NPI 1578708707).
Provider details
- NPI number
- 1578708707
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lee Stansbury, President(773) 276-0633
- License
- 019016644 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1802 W Chicago Ave
Chicago, IL 60622-5512
Phone: (773) 276-0633
Fax: (773) 276-0687
Street-level locationGet directions
Mailing address
1802 W Chicago Ave
Chicago, IL 60622-5512
Registry dates
- Enumerated
- 2008-12-02
- Last updated
- 2008-12-02
Frequently asked questions
- What is Chicago Avenue Dental Group Ltd.'s NPI number?
- Chicago Avenue Dental Group Ltd.'s National Provider Identifier (NPI) is 1578708707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chicago Avenue Dental Group Ltd.?
- Chicago Avenue Dental Group Ltd. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Chicago Avenue Dental Group Ltd. located?
- Chicago Avenue Dental Group Ltd.'s practice location on file with NPPES is 1802 W Chicago Ave, Chicago, IL 60622-5512.
- What is Chicago Avenue Dental Group Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Chicago Avenue Dental Group Ltd. is (773) 276-0633.
- Who is the authorized official for Chicago Avenue Dental Group Ltd.?
- The authorized official listed on Chicago Avenue Dental Group Ltd.'s NPPES record is Lee Stansbury, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chicago Avenue Dental Group Ltd.'s NPI active?
- Yes — Chicago Avenue Dental Group Ltd.'s NPI (1578708707) is active in the NPPES registry as of the last update on 2008-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.