Independence Family Dental is a Dental Clinic in Chicago, Illinois. It is located at 4703 W Lawrence Ave, Chicago, IL and its contact number is 773-205-9900. The authorized person for Independence Family Dental is Emad E Azab
who is Dentist of the clinic and their contact number is 773-205-9900. Other organizations associated with this clinic are Blue Star Dental Inc, Independence Family Dental,
Independence Family Dental Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Independence Family Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Independence Family Dental |
| Specialization: | Dentistry |
| Clinic Address: | 4703 W Lawrence Ave, Chicago,
Illinois, 60630-1722 |
| Phone: | 773-205-9900 |
| Fax: | 773-205-9970 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Emad E Azab |
| Position: | Dentist |
| Contact Number: | 773-205-9900 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Independence Family Dental clinic are as mentioned below.
| NPI Number: | 1164406138 |
| NPI Enumeration Date: | 02 Dec, 2005 |
| NPI Last Update On: | 22 Aug, 2020 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Blue Star Dental Inc | General Practice Dentistry | 1144765777 |
| Independence Family Dental | Dentistry | 1164406138 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Independence Family Dental are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 101611 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Independence Family Dental
4703 W Lawrence Ave,
Chicago, Illinois |
| Zip: | 60630-1722 |
| Phone Number: | 773-205-9900 |
| Fax Number: | 773-205-9970 |
Patients can reach Independence Family Dental at
4703 W Lawrence Ave, Chicago, Illinois or can
call to book an appointment on 773-205-9900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.