MEDICARE: DCP OF ILLINOIS (IRVING PARK), LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1223E0200X	Endodontics
2	1223G0001X	General Practice Dentistry
3	1223P0221X	Pediatric Dentistry
4	1223P0300X	Periodontics
5	1223P0700X	Prosthodontics
6	1223S0112X	Oral and Maxillofacial Surgery (Dentist)
7	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry
8	122300000X	Dentist

General Provider Information

NPI Number	:	1831162528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DCP OF ILLINOIS (IRVING PARK), LTD.

Provider Business Mailing Address
First Line	:	7160 DALLAS PKWY STE 400
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-7111
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4066 NORTH MILWAUKEE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641
Country	:	US
Telephone Number	:	773-541-8137
Fax Number	:	216-584-1017

Authorized Official
Title or Position	:	MANAGER CREDENTIALING
Name	:	RACHEL NITTINGER
Credential	:
Telephone Number	:	972-755-0816

Provider Enumeration Date	:	02/11/2006
Last Update Date	:	10/17/2017

Similar Medicare Providers

1306387220 — GRISEL GONZALEZ
Practice Location Address:

2849 N KOSTNER AVE
CHICAGO, IL
60641-5346

Practice Phone: 773-931-7625
Practice Fax:

1134835952 — SARA THOMAS
Practice Location Address:

3976 N AVONDALE AVE
CHICAGO, IL
60641-2900

Practice Phone: 888-428-7890
Practice Fax:

1659235877 — AVONDALE ACUPUNCTURE LLC
Practice Location Address:

3958 N AVONDALE AVE
CHICAGO, IL
60641-6245

Practice Phone: 240-603-8791
Practice Fax:

1154039709 — SUSAN DODDRIDGE FNP-BC
Practice Location Address:

4211 N CICERO AVE
CHICAGO, IL
60641-1651

Practice Phone: 773-794-1000
Practice Fax:

1912909961 — LEILANI LABORATORY
Practice Location Address:

4320 W MONTROSE AVE , STE C
CHICAGO, IL
60641-2016

Practice Phone: 773-283-0944
Practice Fax: 773-283-0882

1962408864 — DR. DAVID ALAMEDA JR. DPM
Practice Location Address:

4959 W BELMONT AVE
CHICAGO, IL
60641-4332

Practice Phone: 773-237-1122
Practice Fax: 773-237-1222

1801893052 — DR. DANILO V. DELCAMPO M.D.
Practice Location Address:

5440 W BELMONT AVE
CHICAGO, IL
60641-4126

Practice Phone: 773-286-8111
Practice Fax: 773-286-9213

Directions to “DCP OF ILLINOIS (IRVING PARK), LTD. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.