OrganizationActive
Chicago Mall Dental Associates, LLC
NPI 1700397031 · Dentist · Lincolnwood, IL
Chicago Mall Dental Associates, LLC is a Dentist organization in Lincolnwood, IL (NPI 1700397031).
Provider details
- NPI number
- 1700397031
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Rostislav Krasnov, Owner(786) 475-7600
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
3333 W Touhy Ave Unit G01
Lincolnwood, IL 60712-2753
Phone: (847) 807-7601
Street-level locationGet directions
Mailing address
3333 W Touhy Ave Unit G01
Lincolnwood, IL 60712-2753
Other names (DBA / former)
- Doing business as
- Lincolnwood Mall Dental
Registry dates
- Enumerated
- 2017-10-13
- Last updated
- 2017-10-13
Frequently asked questions
- What is Chicago Mall Dental Associates, LLC's NPI number?
- Chicago Mall Dental Associates, LLC's National Provider Identifier (NPI) is 1700397031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chicago Mall Dental Associates, LLC?
- Chicago Mall Dental Associates, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Chicago Mall Dental Associates, LLC located?
- Chicago Mall Dental Associates, LLC's practice location on file with NPPES is 3333 W Touhy Ave Unit G01, Lincolnwood, IL 60712-2753.
- What is Chicago Mall Dental Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Chicago Mall Dental Associates, LLC is (847) 807-7601.
- Who is the authorized official for Chicago Mall Dental Associates, LLC?
- The authorized official listed on Chicago Mall Dental Associates, LLC's NPPES record is Rostislav Krasnov, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chicago Mall Dental Associates, LLC's NPI active?
- Yes — Chicago Mall Dental Associates, LLC's NPI (1700397031) is active in the NPPES registry as of the last update on 2017-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.