Midwest Dental Sleep Center | |
2500 S Highland Ave Ste 220 Lombard IL 60148-7103 | |
(630) 218-1920 | |
(815) 744-7059 |
Full Name | Midwest Dental Sleep Center |
---|---|
Speciality | Clinic/Center |
Location | 2500 S Highland Ave Ste 220, Lombard, 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: (630) 218-1920 | Midwest Dental Sleep Center 2500 S Highland Ave Ste 220 Lombard IL 60148-7103 Ph: (630) 218-1920 |
NPI Number | 1306177241 |
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Provider Enumeration Date | 01/15/2010 |
Last Update Date | 02/10/2023 |
Medicare PECOS PAC ID | 8820287121 |
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Medicare Enrollment ID | O20110118000558 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306177241 | NPI | - | NPPES |
1265442073 | Other | NPI BRIAN PRENTICE DDS | |
1053453936 | Other | NPI STEVEN MORAVEC DDS | |
1265538458 | Other | NPI JONATHAN LOWN MD | |
1750599494 | Other | NPI KATHRYN VALCARENGHI DDS | |
1124041769 | Other | NPI RICHARD CRAIG DDS | |
1447468178 | Other | NPI IVAN VALCARENGHI DDS | |
1053423285 | Other | NPI KEVIN WALLACE DMD | |
1053431981 | Other | NPI GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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