OrganizationActive
Chicago Mall Dental, LLC
NPI 1801263090 · Dentist · Lincolnwood, IL
Chicago Mall Dental, LLC is a Dentist organization in Lincolnwood, IL (NPI 1801263090).
Provider details
- NPI number
- 1801263090
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Rostislav Krasnov, President(786) 475-7600
- 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
3333 W Touhy Ave
Lincolnwood, IL 60712-2721
Phone: (917) 902-9515
Street-level locationGet directions
Mailing address
3333 W Touhy Ave
Lincolnwood, IL 60712-2721
Other names (DBA / former)
- Doing business as
- Lincolnwood Mall Dental
Registry dates
- Enumerated
- 2015-08-24
- Last updated
- 2015-08-24
Frequently asked questions
- What is Chicago Mall Dental, LLC's NPI number?
- Chicago Mall Dental, LLC's National Provider Identifier (NPI) is 1801263090, 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 3333 W Touhy Ave, Lincolnwood, IL 60712-2721.
- 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 (1801263090) is active in the NPPES registry as of the last update on 2015-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.