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

Park West Family Dentistry, PC

Organization Dentist · NPI 1053753699

Park West Family Dentistry, PC provides Dentist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
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

4909 W Division St #409
Chicago, IL 60651-3161 Not confirmed with CMS for 13 years — call before visiting
Phone: (773) 378-4608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019027922 (IL)

Record details

NPI number1053753699
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPark West Family Dentistry, PC
Authorized official Fariha Siddiqui Imam — Dentist/Owner · (773) 880-6054
Other names Harmony Family Dental
NPI enumeratedJuly 24, 2013
Last updated in NPPESJuly 24, 2013
Mailing address4909 W Division St, 409, Chicago, IL 60651-3161

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