Organization
ILLINOIS INSTITUTE OF DENTAL SLEEP MEDICINE INC
Active
Parent organization
ILLINOIS INSTITUTE OF DENTAL SLEEP MEDICINE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ILLINOIS INSTITUTE OF DENTAL SLEEP MEDICINE INC
Authorized official
DR. RODNEY WILLEY DDS (OWNER)
(309) 282-8565
Entity
Organization
Contact information
Practice address
11825 STATE ROUTE 40 STE 100, DUNLAP, IL 61525-8842
(309) 243-8980
Mailing address
11825 STATE ROUTE 40, 100, DUNLAP, IL 61525-8842
(309) 282-8565
(309) 265-0156
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.019599
IL
Other
Enumeration date
04/25/2013
Last updated
08/04/2023
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