| Midwest Dental Sleep Center | |
|
14831 W 159th St Ste 1 Lockport IL 60491-9008 | |
| (630) 218-1920 | |
| (815) 744-7059 |
| Full Name | Midwest Dental Sleep Center |
|---|---|
| Speciality | Dentist - General Practice |
| 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 | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Dental Sleep Center 14831 W 159th St Ste 2 Lockport IL 60491-9008 Ph: (630) 218-1920 | Midwest Dental Sleep Center 14831 W 159th St Ste 1 Lockport IL 60491-9008 Ph: (630) 218-1920 |
| NPI Number | 1114551579 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 12/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114551579 | NPI | - | NPPES |
| 1124041769 | Other | NPI RICHARD CRAIG DDS | |
| 1265442073 | Other | NPI BRIAN PRENTICE DDS | |
| 1447468178 | Other | NPI IVAN VALCARENGHI DDS | |
| 1053453936 | Other | NPI STEVEN MORAVEC DDS | |
| 1053423285 | Other | NPI KEVIN WALLACE DMD | |
| 1457579682 | Other | NPI CHARLES LOCKHART DDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 207RS0012X | Internal Medicine - Sleep Medicine | (* (Not Available)) | Secondary |
Midwest Dental Sleep Center Dental Clinic Medicare: Medicare Enrolled Practice Location: 14831 W 159th St Ste 1, Lockport, IL 60491 Phone: 312-676-9892 Fax: 815-744-7059 | |
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: 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 |