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

Chicagoland Community Pediatric Dentistry, PC

Organization Pediatric Dentistry · NPI 1497138135

Chicagoland Community Pediatric Dentistry, PC provides Pediatric Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

836 W Wellington Ave
Chicago, IL 60657-5147 Not confirmed with CMS for 11 years — call before visiting
Phone: (847) 579-9013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 019026478 (IL)

Record details

NPI number1497138135
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosa Ortega — Pediatric Dentist · (847) 579-9013
NPI enumeratedJune 30, 2015
Last updated in NPPESJune 30, 2015
Mailing address5200 S Massasoit Ave, Chicago, IL 60638-1508

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