MEDICARE: TOTAL HEALTH SLEEP & DENTAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	019022187	IL

General Provider Information

NPI Number	:	1750805354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL HEALTH SLEEP & DENTAL, LLC

Provider Business Mailing Address
First Line	:	87 S MCLEAN BLVD STE B
Second Line	:
City	:	SOUTH ELGIN
State	:	IL
Zip	:	60177-1837
Country	:	US
Telephone Number	:	847-888-8311
Fax Number	:

Provider Business Practice Location Address
First Line	:	87 S MCLEAN BLVD STE B
Second Line	:
City	:	SOUTH ELGIN
State	:	IL
Zip	:	60177-1837
Country	:	US
Telephone Number	:	847-888-8311
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANTHONY BENNARDO
Credential	:	D.D.S.
Telephone Number	:	847-888-8311

Provider Enumeration Date	:	07/26/2017
Last Update Date	:	07/26/2017

Similar Medicare Providers

1285837955 — CONCENTRA HEALTH SERVICES, INC.
Practice Location Address:

1347 SOUTH ANDREWS AVE.
FT. LAUDERDALE, FL
33316-1837

Practice Phone: 954-767-9999
Practice Fax: 954-763-9828

1063643120 — PHUNG MATTHEWS PHARM D
Practice Location Address:

1837 WEST 4700 SOUTH
TAYLORSVILLE, UT
84118

Practice Phone: 801-967-0682
Practice Fax:

1013312644 — ANNA ACKERMAN APN
Practice Location Address:

601 SOUTH FLOYD STREET , SUITE 300
LOUISVILLE, KY
40202-1837

Practice Phone: 502-629-1515
Practice Fax: 502-629-1545

1972114775 — JONATHAN BERRY
Practice Location Address:

1837 SAND PLANT RD
SOUTH CHARLESTON, WV
25309-6027

Practice Phone: 304-756-4297
Practice Fax:

1235738279 — LEONA MAY BERRY
Practice Location Address:

1837 SAND PLANT RD
SOUTH CHARLESTON, WV
25309-6027

Practice Phone: 231-878-7193
Practice Fax:

1265110589 — TIERRA PETRUS
Practice Location Address:

6416 ROBERT DR
SOUTH EASTON, MA
02375-1837

Practice Phone: 781-664-3400
Practice Fax:

Directions to “TOTAL HEALTH SLEEP & DENTAL, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.