Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Diversey Family Dental, PC

Organization Dentist · NPI 1952594020

Diversey Family Dental, PC provides Dentist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
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

4446 W Diversey
Chicago, IL 60639 Not confirmed with CMS for 19 years — call before visiting
Phone: (773) 725-7900
Fax: (773) 725-7900
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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 number1952594020
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ankit Shah — President · (773) 725-7900
NPI enumeratedAugust 22, 2007
Last updated in NPPESAugust 22, 2007
Mailing address4446 W. Diversey, Chicago, IL 60639

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