Brian A Prentice (NPI# 1265442073, PAC ID# 3870869555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DENTIST.
| Nation Provider ID (NPI) | 1265442073 |
| PAC ID by PECOS | 3870869555 |
| Professional Enrollment ID | I20171025000011 |
| Full Name | Brian A Prentice |
| Organization Legal Name | DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD |
| Address |
120 Oak Brook Ctr Suite 726 Oak Brook IL 60523-4754 |
| Phone Number | 6302181920 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS, SAN ANTONIO DENTAL SCHOOL |
| Graduation Year | 2001 |
| Primary Specialty | DENTIST |
| Group Practice PAC ID | 8820287121 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 120 Oak Brook Ctr, Suite 726, Oak Brook, IL 60523-4754 | 6302181920 | DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD |
| Organization Legal Name | DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin R Wallace | Oral Surgery | Dental Sleep Center Richard A Craig Dds Ltd | 150 E Huron St, Suite 1103, Chicago, IL 60611-2948 |
| Richard A Craig | Dentist | Dental Sleep Center Richard A Craig Dds Ltd | 220 Channahon St, Shorewood, IL 60404-9330 |
| Ivan A Valcarenghi | Dentist | Dental Sleep Center Richard A Craig Dds Ltd | 4711 Golf Rd, Suite 413, Skokie, IL 60076-1242 |
| Charles F Lockhart | Oral Surgery | Dental Sleep Center Richard A Craig Dds Ltd | 220 Channahon St, Shorewood, IL 60404-9330 |
| Street Address |
120 OAK BROOK CTR SUITE 726 |
| City | OAK BROOK |
| State | IL |
| Zip | 60523-4754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Lestina | Clinical Social Worker | 10700 Keen Ave, Palos Hills, IL 60523 | |
| John C Reifenstuhl | Clinical Social Worker | Oak Brook Behavioral Health Ltd | 2803 Butterfield Rd, Suite 200, Oak Brook, IL 60523-1165 |
| Donna C Dobrowolsky | Psychiatry | Oak Brook Behavioral Health Ltd | 2803 Butterfield Rd, Suite 200, Oak Brook, IL 60523-1165 |
| Mary E Sayers | Clinical Social Worker | Oak Brook Behavioral Health Ltd | 2803 Butterfield Rd, Suite 200, Oak Brook, IL 60523-1165 |
| Farozan Islam | Psychiatry | Oak Brook Behavioral Health Ltd | 2803 Butterfield Rd, Suite 200, Oak Brook, IL 60523-1165 |
| Lavinia L Myers | Psychiatry | Oak Brook Behavioral Health Ltd | 2803 Butterfield Rd, Suite 200, Oak Brook, IL 60523-1165 |
| Osama A El-shafie | Psychiatry | Oak Brook Behavioral Health Ltd | 2803 Butterfield Rd, Suite 200, Oak Brook, IL 60523-1165 |
| Melany M Danehy | Psychiatry | Oak Brook Behavioral Health Ltd | 2803 Butterfield Rd, Suite 200, Oak Brook, IL 60523-1165 |
| Kyle R Bonesteel | Psychologist, Clinical | 2805 Butterfield Rd, Suite 100, Oak Brook, IL 60523-1184 | |
| Jeffrey Ryan Pua | Internal Medicine | Dupage Medical Group Ltd | 3011 Butterfield Rd, Suite 240, Oakbrook, IL 60523-1192 |
| Find all physicians in zip 60523 | |||
| City | OAK BROOK |
| Zip Code | 60523 |
| Specialty | DENTIST |
| City + Specialty | OAK BROOK + DENTIST |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.