| Dr Brian Andrew Prentice, DDS | |
|
14831 W 159th St Ste 1, Lockport, IL 60491-9008 | |
| (630) 324-5369 | |
| (815) 744-7059 |
| Full Name | Dr Brian Andrew Prentice |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Experience | 25 Years |
| Location | 14831 W 159th St Ste 1, Lockport, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265442073 | NPI | - | NPPES |
| 1295165439 | Other | BARRINGTON SVC LOCATION | |
| P01931253 | Other | RAILROAD PTAN | |
| F400420356 | Other | MEDICARE PART B PTAN | |
| 1760882005 | Other | SKOKIE SVC LOCATION | |
| 1205145554 | Other | SHOREWOOD SVC LOCATION | |
| 1306177241 | Other | OAKBROOK SVC LOCATION | |
| 1508198474 | Other | CHICAGO SVC LOCATION | |
| F400420355 | Other | MEDICARE PART B PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019.031399 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Sherman Hospital | Elgin, IL | Hospital |
| Adventist Hinsdale Hospital | Hinsdale, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Northwestern Memorial Hospital | Chicago, IL | Hospital |
| Advocate Good Samaritan Hospital | Downers grove, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dental Sleep Center Richard A Craig Dds Ltd | 8820287121 | 5 |
| Entity Name | Dental Sleep Center Richard A Craig Dds Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053431981 PECOS PAC ID: 8820287121 Enrollment ID: O20110301000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Andrew Prentice, DDS 14831 W 159th St Ste 1, Lockport, IL 60491-9008 Ph: (630) 324-5369 | Dr Brian Andrew Prentice, DDS 14831 W 159th St Ste 1, Lockport, IL 60491-9008 Ph: (630) 324-5369 |
Melanie Mcgrath, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 916 E 7th St, Lockport, IL 60441 Phone: 815-863-0001 | |
Dr. Kathryn R. Haraldson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 230 E 8th St, Suite #5, Lockport, IL 60441 Phone: 815-838-6102 Fax: 815-838-6281 | |
Richard A Craig, DDS Dentist Medicare: May Accept Medicare Assignments Practice Location: 14831 W 159th St Ste 1, Lockport, IL 60491 Phone: 815-483-2980 Fax: 815-744-7059 | |
Mansour Musa Mohammed, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 16473 W 159th St, Lockport, IL 60441 Phone: 815-221-4200 | |
Tom M Ross, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1002 S State St, Lockport, IL 60441 Phone: 815-838-7174 | |
Hiba Iqbal, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 16533 W 159th St, Lockport, IL 60441 Phone: 815-836-3700 | |
Dr. Paul A. Bobak, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 230 E 8th St, Suite #5, Lockport, IL 60441 Phone: 815-838-6102 Fax: 815-838-6281 |