MEDICARE: CHICAGO DENTAL BOUTIQUES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	019030540	IL

General Provider Information

NPI Number	:	1043720907
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICAGO DENTAL BOUTIQUES

Provider Business Mailing Address
First Line	:	333 E BENTON PL STE 202
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-7411
Country	:	US
Telephone Number	:	312-868-0301
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 E BENTON PL STE 202
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-7411
Country	:	US
Telephone Number	:	312-868-0301
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. ROHI ATASSI
Credential	:	DDS
Telephone Number	:	312-868-0301

Provider Enumeration Date	:	10/05/2017
Last Update Date	:	10/05/2017

Similar Medicare Providers

1386587780 — SHALEN BAASE LMT
Practice Location Address:

333 E BENTON PL STE 108
CHICAGO, IL
60601-7411

Practice Phone: 312-929-3646
Practice Fax:

1629746359 — RACHEL HELENE HUNT DPT
Practice Location Address:

333 E BENTON PL STE 108
CHICAGO, IL
60601-7411

Practice Phone: 312-929-3646
Practice Fax:

1275387425 — LUIS IGNACIO SANCHEZ
Practice Location Address:

333 E BENTON PL STE 108
CHICAGO, IL
60601-7411

Practice Phone: 312-929-3646
Practice Fax:

1023996287 — CYDNEY ANNE LIEBENBERG
Practice Location Address:

333 E BENTON PL STE 108
CHICAGO, IL
60601-7411

Practice Phone: 312-929-3646
Practice Fax:

1326447020 — SAVING LIVES INC.
Practice Location Address:

7411 S STONY ISLAND AVE FL 3
CHICAGO, IL
60649-3613

Practice Phone: 312-202-0419
Practice Fax: 773-417-0441

1023580123 — DOWNEY THERAPEUTIC SERVICES LLC
Practice Location Address:

323 E WACKER DR UNIT 207
CHICAGO, IL
60601-5282

Practice Phone: 310-498-9700
Practice Fax:

Directions to “CHICAGO DENTAL BOUTIQUES ” 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 © 2007-2026 (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.