| Midwest Dental Sleep Center | |
|
150 E Huron St Suite 1103 Chicago IL 60611-2999 | |
| (312) 676-9893 | |
| (815) 744-7059 |
| Full Name | Midwest Dental Sleep Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 E Huron St, Chicago, 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 150 E Huron St Suite 1103 Chicago IL 60611-2999 Ph: (312) 676-9893 |
| NPI Number | 1508198474 |
|---|---|
| Provider Enumeration Date | 02/03/2010 |
| Last Update Date | 01/10/2025 |
| Certification Date | 01/10/2025 |
| Medicare PECOS PAC ID | 8820287121 |
|---|---|
| Medicare Enrollment ID | O20110118000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508198474 | NPI | - | NPPES |
| 1265442073 | Other | NPI BRIAN PRENTICE DDS | |
| 1265538458 | Other | NPI JONATHAN LOWN MD | |
| 1124041769 | Other | NPI RICHARD CRAIG DDS | |
| 1447468178 | Other | NPI IVAN VALCARENGHI DDS | |
| 6472260003 | Other | IL | MEDICARE NSC |
| 1750599494 | Other | NPI KATHRYN VALCARENGHI DDS | |
| 1053431981 | Other | NPI GROUP | |
| 1053423285 | Other | NPI KEVIN WALLACE DMD | |
| 1790843399 | Other | NPI ANGELA PLANER VENEGONI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | () | Secondary |
Universal Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3915 W 26th St, Chicago, IL 60623 Phone: 773-522-2929 Fax: 773-522-2930 |
Portage Park Dental Associates, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5613 W Irving Park Rd, Chicago, IL 60634 Phone: 773-286-4030 Fax: 773-736-0716 |
Timothy M. Crowe DMD PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 N Michigan Ave, Suite 1329, Chicago, IL 60602 Phone: 312-782-2844 Fax: 312-783-5780 |
Sheth Dental Assoc. P.C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3705 E 106th St, Chicago, IL 60617 Phone: 773-978-7773 Fax: 773-978-0419 |
Dr. Steven Kahn Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 East Washington Street, Suite 1823, Chicago, IL 60602 Phone: 312-269-0100 Fax: 312-269-0004 |
Archer Family Dental Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6615 W Archer Ave, Chicago, IL 60638 Phone: 773-586-9700 |