| Illinois Institute Of Dental Sleep Medicine Inc | |
|
11825 State Route 40 Ste 100 Dunlap IL 61525-8842 | |
| (309) 243-8980 | |
| Not Available |
| Full Name | Illinois Institute Of Dental Sleep Medicine Inc |
|---|---|
| Speciality | Dentist |
| Location | 11825 State Route 40 Ste 100, Dunlap, Illinois |
| Authorized Official Name and Position | Rodney Willey (OWNER) |
| Authorized Official Contact | 3092828565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Institute Of Dental Sleep Medicine Inc 11825 State Route 40 100 Dunlap IL 61525-8842 Ph: (309) 282-8565 | Illinois Institute Of Dental Sleep Medicine Inc 11825 State Route 40 Ste 100 Dunlap IL 61525-8842 Ph: (309) 243-8980 |
| NPI Number | 1619311248 |
|---|---|
| Provider Enumeration Date | 04/25/2013 |
| Last Update Date | 08/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619311248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.019599 (Illinois) | Primary |
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Illinois Institute Of Dental Sleep Medicine Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 11825 State Route 40, Dunlap, IL 61525 Phone: 309-243-9239 |