MEDICARE: DENTAL HEALTH CENTER 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	019023845	IL

General Provider Information

NPI Number	:	1578886248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL HEALTH CENTER LTD

Provider Business Mailing Address
First Line	:	2413 S STATE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-2311
Country	:	US
Telephone Number	:	312-949-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2413 S STATE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-2311
Country	:	US
Telephone Number	:	312-949-9000
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. FAIZAN MIR
Credential	:
Telephone Number	:	312-949-9000

Provider Enumeration Date	:	03/09/2010
Last Update Date	:	03/09/2010

Similar Medicare Providers

1174512339 — PRASAD B GONAVARUM D.D.S.
Practice Location Address:

2413 S STATE ST , IDEAL DENTAL CENTER
CHICAGO, IL
60616-2311

Practice Phone: 312-528-1800
Practice Fax: 312-528-1881

1831239458 — IDEAL PHARMACY
Practice Location Address:

2413 S STATE ST
CHICAGO, IL
60616-2311

Practice Phone: 312-225-6803
Practice Fax: 312-225-6527

1013231679 — MR. NATU J PATEL RPH
Practice Location Address:

2413 S STATE ST
CHICAGO, IL
60616-2311

Practice Phone: 312-225-6803
Practice Fax: 312-225-6527

1700309648 — FTDC LTD
Practice Location Address:

2413 S STATE ST
CHICAGO, IL
60616-2311

Practice Phone: 312-949-9000
Practice Fax:

1154202661 — LESLIE LOPEZ DNP, FNP- BC
Practice Location Address:

1720 S MICHIGAN AVE APT 2311
CHICAGO, IL
60616-4855

Practice Phone: 708-910-4099
Practice Fax:

1740353267 — KROGER LIMITED PARTNERSHIP I
Practice Location Address:

209 CHICAGO AVE
GOSHEN, IN
46526-2311

Practice Phone: 574-534-9223
Practice Fax: 574-533-0804

Directions to “DENTAL HEALTH CENTER 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.