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Chicago Mall Dental, LLC

Dentist in Lincolnwood, IL · enumerated 2015 · authorized official Rostislav Krasnov, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801263090

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Registry record

Entity type Organization (Type 2)
Legal business name Chicago Mall Dental, LLC
Other name <Unavail>
Practice address 3333 W Touhy Ave, Lincolnwood, IL, 60712
Enumeration date Aug 24, 2015
Last updated in NPPES Aug 24, 2015

Taxonomy & classification

122300000X Dentist Dental Providers · License 019.028976 (IL) Primary

Authorized official

Name Rostislav Krasnov
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Chicago Mall Dental, LLC?
The NPI for Chicago Mall Dental, LLC is 1801263090, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Chicago Mall Dental, LLC?
NPPES lists Rostislav Krasnov (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-08-24.