MEDICARE: NORTHWESTERN DENTAL CLINIC 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	019023897	IL

General Provider Information

NPI Number	:	1922248210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWESTERN DENTAL CLINIC LTD

Provider Business Mailing Address
First Line	:	2604 W NORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-5235
Country	:	US
Telephone Number	:	773-252-0033
Fax Number	:

Provider Business Practice Location Address
First Line	:	2604 W NORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-5235
Country	:	US
Telephone Number	:	773-252-0033
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALI EKTERA
Credential	:
Telephone Number	:	773-252-0033

Provider Enumeration Date	:	02/25/2009
Last Update Date	:	02/25/2009

Similar Medicare Providers

1033040357 — J C KANIA DDS PC
Practice Location Address:

2604 W NORTH AVE
CHICAGO, IL
60647-5235

Practice Phone: 773-252-0033
Practice Fax: 773-252-0033

1952659005 — SANEI CENTER PC
Practice Location Address:

2604 W NORTH AVE
CHICAGO, IL
60647-5235

Practice Phone: 773-252-0033
Practice Fax:

1588358949 — JENNIFER MARIE SIRTOLA FNP
Practice Location Address:

2616 W NORTH AVE APT 3N
CHICAGO, IL
60647-5235

Practice Phone: 773-699-3012
Practice Fax:

1902773278 — FIRST CHICAGO CLINIC INC
Practice Location Address:

2604 W NORTH AVE
CHICAGO, IL
60647-5235

Practice Phone: 773-252-0033
Practice Fax:

1366371064 — REBECCA MARY POPE
Practice Location Address:

5235 N CLARK ST FL 2
CHICAGO, IL
60640-2122

Practice Phone: 773-980-9257
Practice Fax:

1326170531 — JAMES MICHAEL PARKER R.PH.
Practice Location Address:

5235 N SHERIDAN RD
CHICAGO, IL
60640-2512

Practice Phone: 773-728-7320
Practice Fax: 773-728-0230

Directions to “NORTHWESTERN DENTAL CLINIC 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.