| Dental Sleep Center Richard A Craig Dds Ltd | |
|
14831 W 159th St Ste 1 Homer Glen IL 60491-9008 | |
| (815) 483-2980 | |
| (815) 744-7059 |
| Full Name | Dental Sleep Center Richard A Craig Dds Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 14831 W 159th St Ste 1, Homer Glen, 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 |
|---|---|
| Dental Sleep Center Richard A Craig Dds Ltd 14831 W 159th St Ste 1 Lockport IL 60491-9008 Ph: (312) 676-9893 | Dental Sleep Center Richard A Craig Dds Ltd 14831 W 159th St Ste 1 Homer Glen IL 60491-9008 Ph: (815) 483-2980 |
| NPI Number | 1205145554 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 06/05/2025 |
| Medicare PECOS PAC ID | 8820287121 |
|---|---|
| Medicare Enrollment ID | O20110118000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205145554 | NPI | - | NPPES |
| 1053423285 | Other | NPI KEVIN WALLACE DMD | |
| 1124041769 | Other | NPI RICHARD CRAIG DDS | |
| 1265442073 | Other | NPI BRIAN PRENTICE DDS | |
| 1801002506 | Other | NPI LYDIA SOSENKO DDS | |
| 1053431981 | Other | NPI GROUP | |
| 1790843399 | Other | NPI ANGELA PLANER DDS | |
| 1265538458 | Other | NPI JONATHAN LOWN MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Earley Family Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15748 S Bell Rd, Homer Glen, IL 60491 Phone: 708-301-2220 Fax: 708-301-2194 | |
Dental Sleep Center Richard A Craig Dds Ltd Dental Clinic Medicare: Medicare Enrolled Practice Location: 14831 W 159th St Ste 1, Homer Glen, IL 60491 Phone: 312-676-9892 Fax: 815-744-7059 | |
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