| Richard A Craig, DDS | |
|
14831 W 159th St Ste 1, Lockport, IL 60491-9008 | |
| (815) 483-2980 | |
| (815) 744-7059 |
| Full Name | Richard A Craig |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 14831 W 159th St Ste 1, Lockport, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124041769 | NPI | - | NPPES |
| 1053431981 | Other | GROUP NPI | |
| 1205145554 | Other | PRACTICE LOCATION TYPE II NPI | |
| 1295165439 | Other | PRACTICE LOCATION TYPE II NPI | |
| 1063649770 | Other | GROUP NPI | |
| 1760882005 | Other | PRACTICE LOCATION TYPE II NPI | |
| 1306177241 | Other | PRACTICE LOCATION TYPE II NPI | |
| 1508198474 | Other | PRACTICE LOCATION TYPE II NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019014284 (Illinois) | Primary |
| 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 |
|---|---|
| Richard A Craig, DDS 14831 W 159th St Ste 1, Lockport, IL 60491-9008 Ph: (312) 676-9892 | Richard A Craig, DDS 14831 W 159th St Ste 1, Lockport, IL 60491-9008 Ph: (815) 483-2980 |
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 | |
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 |