Provider Demographics
NPI:1760882005
Name:DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD
Entity type:Organization
Organization Name:DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:312-676-9892
Mailing Address - Street 1:14831 W 159TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60491-9008
Mailing Address - Country:US
Mailing Address - Phone:312-676-9893
Mailing Address - Fax:815-744-7059
Practice Address - Street 1:4711 GOLF RD STE 912
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1247
Practice Address - Country:US
Practice Address - Phone:312-676-9892
Practice Address - Fax:815-744-7059
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-22
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1801002506OtherNPI MARIA SOSENKO DDS
1124041769OtherNPI RICHARD CRAIG DDS
1265538458OtherNPI JONATHAN S LOWN MD
1053423285OtherNPI KEVIN WALLACE DMD
1053431981OtherNPI GROUP
1790843399OtherNPI ANGELA PLANER VENEGONI DDS
6472260005OtherMEDICARE NSC
1265442073OtherNPI BRIAN PRENTICE DDS
1265538458OtherNPI JONATHAN S LOWN MD