Organization
DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD
Active
Parent organization
DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD
Other names
Midwest Dental Sleep Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD
Authorized official
DR. RICHARD ALLEN CRAIG DDS (PRESIDENT)
(815) 483-2980
Entity
Organization
Contact information
Practice address
150 E HURON ST, SUITE 1103, CHICAGO, IL 60611-2999
(312) 676-9893
(815) 744-7059
Mailing address
14831 W 159TH ST STE 1, LOCKPORT, IL 60491-9008
(312) 676-9893
(815) 744-7059
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053423285
NPI KEVIN WALLACE DMD
—
01
—
1053431981
NPI GROUP
—
01
—
1124041769
NPI RICHARD CRAIG DDS
—
01
—
1265442073
NPI BRIAN PRENTICE DDS
—
01
—
1265538458
NPI JONATHAN LOWN MD
—
01
—
1447468178
NPI IVAN VALCARENGHI DDS
—
01
—
1750599494
NPI KATHRYN VALCARENGHI DDS
—
01
—
1790843399
NPI ANGELA PLANER VENEGONI
—
01
—
6472260003
MEDICARE NSC
IL
Enumeration date
02/03/2010
Last updated
01/10/2025
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