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

Park West Family Dentistry

Organization General Practice Dentistry · NPI 1801190582

Park West Family Dentistry provides General Practice Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011

Practice location Address checks out

830 W Diversey Pkwy 2nd Fl
Chicago, IL 60614-1454 Not confirmed with CMS for 14 years — call before visiting
Phone: (773) 880-6054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.027922 (IL)

Record details

NPI number1801190582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fariha Siddiqui Imam — Dentist/Owner · (773) 880-6054
Other names Harmony Family Dental
NPI enumeratedJanuary 10, 2011
Last updated in NPPESJanuary 3, 2012
Mailing address830 W Diversey Pkwy, 2nd Floor, Chicago, IL 60614-1454

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