Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
RAVENSWOOD DENTAL PLLC
Active
Organization
RAVENSWOOD DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE SIEGEL (DENTIST)
(773) 772-8400
Entity
Organization
Contact information
Practice address
5015 N PAULINA ST STE 330, CHICAGO, IL 60640-2756
(773) 774-3555
Mailing address
1440 SHERIDAN RD UNIT UL102, WILMETTE, IL 60091-1838
(847) 648-1980
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up