Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chicago Mall Dental Associates, LLC

Organization Dentist · NPI 1245741578

Chicago Mall Dental Associates, LLC provides Dentist services in North Riverside, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7501 W Cermak Rd Ste F16
North Riverside, IL 60546-2815
Phone: (708) 402-8001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (IL)

Record details

NPI number1245741578
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rostislav Krasnov — Owner · (786) 475-7600
Other names North Riverside Mall Dental
NPI enumeratedOctober 13, 2017
Last updated in NPPESOctober 13, 2017
Mailing address7501 W Cermak Rd Ste F16, North Riverside, IL 60546-2815

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