MEDICARE: ABSOLUTE DENTISTRY LTD

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	122300000X	OTHER	IL	TAXONOMY

General Provider Information

NPI Number	:	1346615820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE DENTISTRY LTD

Provider Business Mailing Address
First Line	:	4911 W DIVERSEY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-1705
Country	:	US
Telephone Number	:	773-804-9500
Fax Number	:	773-804-9501

Provider Business Practice Location Address
First Line	:	4911 W DIVERSEY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-1705
Country	:	US
Telephone Number	:	773-804-9500
Fax Number	:	773-804-9501

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ISZA AICH-RANJBARI
Credential	:	DDS
Telephone Number	:	773-804-9500

Provider Enumeration Date	:	12/09/2015
Last Update Date	:	12/09/2015

Similar Medicare Providers

1780893990 — DR. ISZA AICH-RANJBARI D.D.S.,
Practice Location Address:

4911 W DIVERSEY AVE
CHICAGO, IL
60639-1705

Practice Phone: 773-804-9500
Practice Fax: 773-804-9501

1225416308 — DIVERSEY HEALTH CARE CLINIC INC
Practice Location Address:

4911 W DIVERSEY AVE
CHICAGO, IL
60639-1705

Practice Phone: 773-237-3100
Practice Fax: 855-299-4948

1285289579 — LATASHA ECHOLS
Practice Location Address:

1705 N LECLAIRE AVE
CHICAGO, IL
60639-4410

Practice Phone: 773-993-9114
Practice Fax:

1306847207 — HARENDRA P. SHAH PA-C
Practice Location Address:

6349, N FAIRFIELD AVENUE , PRISM MEDICAL CENTER
CHICAGO, IL
60659-1705

Practice Phone: 773-262-1300
Practice Fax: 773-262-1184

1942255583 — PRESTIGE HOME HEALTH SERVICES, INC.
Practice Location Address:

8618 W CATALPA AVE , SUITE 1115
CHICAGO, IL
60656-1705

Practice Phone: 773-693-0100
Practice Fax: 773-693-0110

1588760524 — RAUL SALTA
Practice Location Address:

1705 W GRANVILLE AVE
CHICAGO, IL
60660-1114

Practice Phone: 773-262-8760
Practice Fax:

Directions to “ABSOLUTE DENTISTRY 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 © 2007-2026 (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.