Park West Family Dentistry is a Dental Clinic in Chicago, Illinois. It is located at 830 W Diversey Pkwy, 2nd Floor, Chicago, IL and its contact number is 773-880-6054. The authorized person for Park West Family Dentistry is Dr. Fariha Siddiqui Imam
who is Dentist/owner of the clinic and their contact number is 773-880-6054. The primary license number for Park West Family Dentistry is 019.027922 (General Practice) in Illinois. Park West Family Dentistry Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Park West Family Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Park West Family Dentistry
Specialization:
General Practice Dentistry
Clinic Address:
830 W Diversey Pkwy, 2nd Floor, Chicago, Illinois, 60614-1454
Phone:
773-880-6054
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:
Dr. Fariha Siddiqui Imam
Position:
Dentist/owner
Contact Number:
773-880-6054
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 Park West Family Dentistry clinic are as mentioned below.
NPI Number:
1801190582
NPI Enumeration Date:
10 Jan, 2011
NPI Last Update On:
03 Jan, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Park West Family Dentistry are as mentioned below.
Specialization
License Number
State
Status
General Practice
019.027922
Illinois
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Park West Family Dentistry 830 W Diversey Pkwy, 2nd Floor Chicago, Illinois
Zip:
60614-1454
Phone Number:
773-880-6054
Patients can reach Park West Family Dentistry at 830 W Diversey Pkwy, 2nd Floor, Chicago, Illinois or can call to book an appointment on 773-880-6054. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.