MEDICARE: CHICAGOLAND DENTAL ASSOCIATES PC

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	019023492	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1245429133	OTHER		NPI

General Provider Information

NPI Number	:	1568690790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICAGOLAND DENTAL ASSOCIATES PC

Provider Business Mailing Address
First Line	:	2002 N DAMEN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-4527
Country	:	US
Telephone Number	:	773-276-2757
Fax Number	:	773-276-2758

Provider Business Practice Location Address
First Line	:	2002 N DAMEN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-4527
Country	:	US
Telephone Number	:	773-276-2757
Fax Number	:	773-276-2758

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YASSER ELSEWEIFI
Credential	:	DDS
Telephone Number	:	630-464-1474

Provider Enumeration Date	:	06/25/2009
Last Update Date	:	10/01/2013

Similar Medicare Providers

1649325929 — DR. NELA RODRIGUEZ CORDERO M.D.
Practice Location Address:

2002 N DAMEN AVE
CHICAGO, IL
60647-4527

Practice Phone: 773-486-6553
Practice Fax:

1245429133 — DR. YASSER AHMED ELSEWEIFI DDS
Practice Location Address:

2002 N DAMEN AVE
CHICAGO, IL
60647-4527

Practice Phone: 773-276-2757
Practice Fax: 773-276-2758

1346556057 — HENRY LOPEZ CORDERO, M.D., S.C.
Practice Location Address:

2002 N DAMEN AVE
CHICAGO, IL
60647-4527

Practice Phone: 773-486-6553
Practice Fax:

1841313244 — MS. SHANNON MAY M.A. CCC-SLP
Practice Location Address:

4527 N ROCKWELL ST
CHICAGO, IL
60625-3020

Practice Phone: 773-425-5124
Practice Fax:

1043424450 — MAYA FAMILY MEDICAL CENTER
Practice Location Address:

4527 N PULASKI RD
CHICAGO, IL
60630

Practice Phone: 773-267-6617
Practice Fax: 773-267-0460

1285803791 — PERFECT MANAGED CARE LLC
Practice Location Address:

4527 N PULASKI RD
CHICAGO, IL
60630-4415

Practice Phone: 773-267-7060
Practice Fax: 773-267-4752

Directions to “CHICAGOLAND DENTAL ASSOCIATES PC ” 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.