MEDICARE: PRECISION DENTAL CARE 2, LLC

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	019026820	IL

General Provider Information

NPI Number	:	1518280759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION DENTAL CARE 2, LLC

Provider Business Mailing Address
First Line	:	4830 N PULASKI RD STE 108
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-2847
Country	:	US
Telephone Number	:	773-283-2100
Fax Number	:	773-283-2500

Provider Business Practice Location Address
First Line	:	4830 N PULASKI RD STE 108
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-2847
Country	:	US
Telephone Number	:	773-283-2100
Fax Number	:	773-283-2500

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. RANDY CHANG
Credential	:	D.D.S.
Telephone Number	:	773-283-2100

Provider Enumeration Date	:	03/02/2010
Last Update Date	:	03/02/2010

Similar Medicare Providers

1952823197 — DR. YOON JIN JUNG D.M.D.
Practice Location Address:

4830 N PULASKI RD STE 108
CHICAGO, IL
60630-2847

Practice Phone: 773-694-1407
Practice Fax:

1245671676 — HASE ZAHN INC.
Practice Location Address:

4830 N PULASKI RD STE 108
CHICAGO, IL
60630-2847

Practice Phone: 773-283-2100
Practice Fax:

1609235118 — CHANDNI K PATEL D.D.S
Practice Location Address:

4830 N PULASKI RD STE 108
CHICAGO, IL
60630-2847

Practice Phone: 661-364-5050
Practice Fax:

1831273994 — K RANGA RAMA KRISHNAN M.D.
Practice Location Address:

1645 W JACKSON BLVD STE 600
CHICAGO, IL
60612-2847

Practice Phone: 312-942-5372
Practice Fax:

1255685160 — DR. SARA ANN RUDOLPH AU.D.
Practice Location Address:

7141 N KEDZIE AVE , APT 113
CHICAGO, IL
60645-2847

Practice Phone: 773-290-8239
Practice Fax:

1134551849 — TRILOGY, INC.
Practice Location Address:

1847 S PULASKI RD
CHICAGO, IL
60623-2847

Practice Phone: 773-508-6100
Practice Fax:

Directions to “PRECISION DENTAL CARE 2, LLC ” 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.