MEDICARE: MCKENNA FREUND DDS

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	1223G0001X	General Practice Dentistry	019.035025	IL

General Provider Information

NPI Number	:	1902643141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MCKENNA FREUND DDS

Provider Business Mailing Address
First Line	:	1433 N MILWAUKEE AVE APT 201
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-9026
Country	:	US
Telephone Number	:	216-644-0855
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 N MILWAUKEE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-0367
Country	:	US
Telephone Number	:	312-846-6752
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2024
Last Update Date	:	07/15/2024

Similar Medicare Providers

1366002289 — SAILESH RAMALINGAM DDS
Practice Location Address:

1625 N MILWAUKEE AVE
CHICAGO, IL
60647-0367

Practice Phone: 312-846-6752
Practice Fax:

1033953096 — DR. CHLOEE BATLLO DMD
Practice Location Address:

1625 N MILWAUKEE AVE
CHICAGO, IL
60647-0367

Practice Phone: 630-624-1594
Practice Fax:

1821834607 — IBRAAHIM BADAT DDS
Practice Location Address:

1625 N MILWAUKEE AVE
CHICAGO, IL
60647-0367

Practice Phone: 312-846-6752
Practice Fax:

1770439101 — CASSANDRA PECK-DIMIT
Practice Location Address:

2921 W MCLEAN AVE APT 2
CHICAGO, IL
60647-6854

Practice Phone: 248-880-1415
Practice Fax:

1477409829 — KINTSUGI GROUP PLLC
Practice Location Address:

1879 N MILWAUKEE AVE STE 1
CHICAGO, IL
60647-5689

Practice Phone: 312-429-6506
Practice Fax:

1407702798 — TARA FARAJI
Practice Location Address:

1813 N MILWAUKEE AVE
CHICAGO, IL
60647-6189

Practice Phone: 847-636-0741
Practice Fax:

Directions to “ MCKENNA FREUND DDS” 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.