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NPI Code Detail

MEDICARE: DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD

MEDICARE: DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD
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
1332B00000XDurable Medical Equipment & Medical Supplies
2261QD0000XDental Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
76472260005OTHERMEDICARE NSC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11801002506OTHERNPI MARIA SOSENKO DDS
21124041769OTHERNPI RICHARD CRAIG DDS
31265538458OTHERNPI JONATHAN S LOWN MD
41053423285OTHERNPI KEVIN WALLACE DMD
51053431981OTHERNPI GROUP
61790843399OTHERNPI ANGELA PLANER VENEGONI DDS
81265442073OTHERNPI BRIAN PRENTICE DDS

General Provider Information

NPI Number : 1760882005
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD
Provider Business Mailing Address
First Line : 14831 W 159TH ST STE 1
Second Line :
City : LOCKPORT
State : IL
Zip : 60491-9008
Country : US
Telephone Number : 312-676-9893
Fax Number : 815-744-7059
Provider Business Practice Location Address
First Line : 4711 GOLF RD STE 912
Second Line :
City : SKOKIE
State : IL
Zip : 60076-1247
Country : US
Telephone Number : 312-676-9892
Fax Number : 815-744-7059
Authorized Official
Title or Position : PRESIDENT
Name : DR. RICHARD ALLEN CRAIG
Credential : DDS
Telephone Number : 312-676-9892
Provider Enumeration Date : 08/22/2014
Last Update Date : 06/05/2025

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Directions to “DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD ” Practice Location

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