| Midwest Dental Sleep Center | |
|
14831 W 159th St Ste 1 Lockport IL 60491-9008 | |
| (815) 483-2980 | |
| (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 | 8154832980 |
| 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) 676-9893 | Midwest Dental Sleep Center 14831 W 159th St Ste 1 Lockport IL 60491-9008 Ph: (815) 483-2980 |
| NPI Number | 1205145554 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 02/10/2023 |
| Medicare PECOS PAC ID | 8820287121 |
|---|---|
| Medicare Enrollment ID | O20110118000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205145554 | NPI | - | NPPES |
| 1053453936 | Other | NPI STEVEN MORAVEC DDS | |
| 1265442073 | Other | NPI BRIAN PRENTICE DDS | |
| 1265538458 | Other | NPI JONATHAN LOWN MD | |
| 1447468178 | Other | NPI IVAN VALCARENGHI DDS | |
| 1750599494 | Other | NPI KATHRYN VALCARENGHI DDS | |
| 1053423285 | Other | NPI KEVIN WALLACE DMD | |
| 1053431981 | Other | NPI GROUP | |
| 1124041769 | Other | NPI RICHARD CRAIG DDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (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: Not Enrolled in Medicare Practice Location: 14831 W 159th St Ste 1, Lockport, IL 60491 Phone: 630-218-1920 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 |