| Midwest Dental Sleep Center | |
|
14831 W 159th St Ste 1 Lockport IL 60491-9008 | |
| (312) 676-9892 | |
| (815) 744-7059 |
| Full Name | Midwest Dental Sleep Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 14831 W 159th St Ste 1, Lockport, Illinois |
| Authorized Official Name and Position | Richard Allen Craig (PRESIDENT) |
| Authorized Official Contact | 3126769892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Dental Sleep Center 14831 W 159th St Ste 1 Lockport IL 60491-9008 Ph: (312) 676-9892 | Midwest Dental Sleep Center 14831 W 159th St Ste 1 Lockport IL 60491-9008 Ph: (312) 676-9892 |
| NPI Number | 1053431981 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/01/2022 |
| Medicare PECOS PAC ID | 8820287121 |
|---|---|
| Medicare Enrollment ID | O20110301000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053431981 | NPI | - | NPPES |
| 1306177241 | Other | OAK BROOK SVC LOCATION | |
| 1205145554 | Other | SHOREWOOD SVC LOCATION | |
| 1295165439 | Other | BARRINGTON SVC LOCATION | |
| 1760882005 | Other | SKOKIE SVC LOCATION | |
| 6472260002 | Other | MEDICARE NSC | |
| 1508198474 | Other | CHICAGO SVC LOCATION | |
| 6472260001 | Other | MEDICARE NSC | |
| 6472260005 | Other | MEDICARE NSC | |
| 6472260003 | Other | MEDICARE NSC | |
| 6472260004 | Other | MEDICARE NSC |
| Provider Name | Richard A Craig |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124041769 PECOS PAC ID: 6507877537 Enrollment ID: I20060505000359 |
| Provider Name | Charles F Lockhart |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1457579682 PECOS PAC ID: 0547441230 Enrollment ID: I20110301000652 |
| Provider Name | Kevin R Wallace |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1053423285 PECOS PAC ID: 1951691237 Enrollment ID: I20160620000860 |
| Provider Name | Brian A Prentice |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1265442073 PECOS PAC ID: 3870869555 Enrollment ID: I20171025000011 |
| Provider Name | Ivan A Valcarenghi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447468178 PECOS PAC ID: 1850647074 Enrollment ID: I20180702000541 |
| Provider Name | Steven J Moravec |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1053453936 PECOS PAC ID: 8224384896 Enrollment ID: I20180712000452 |
| Provider Name | Kathryn A Valcarenghi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750599494 PECOS PAC ID: 1557776580 Enrollment ID: I20210224001509 |
| Provider Name | Angela P Venegoni |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1790843399 PECOS PAC ID: 3971534652 Enrollment ID: I20240510000106 |
Tammy Giannetta Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16121 S Farrell Rd, Lockport, IL 60441 Phone: 815-524-5053 Fax: 815-552-2064 | |
Midwest Dental Sleep Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14831 W 159th St Ste 1, Lockport, IL 60491 Phone: 630-218-1920 Fax: 815-744-7059 | |
Midwest Dental Sleep Center Dental Clinic Medicare: Medicare Enrolled Practice Location: 14831 W 159th St Ste 1, Lockport, IL 60491 Phone: 815-483-2980 Fax: 815-744-7059 | |
Lockport Dental Group, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 E 8th St, Ste 5, Lockport, IL 60441 Phone: 815-838-6102 Fax: 815-838-6281 | |
Zale Foster And Ruginis Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 856 N State St, Lockport, IL 60441 Phone: 815-838-1998 Fax: 815-838-4263 | |
Farrell Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16533 W 159th St, Lockport, IL 60441 Phone: 815-836-3700 Fax: 815-836-3701 |