Illinois Institute of Dental Sleep Medicine Inc
A Medicare group practice based in Dunlap, IL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9032242078), with 2 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9032242078
- Provider type
- DME Supplier - Oral Surgery - Dentist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- IL
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100728000545 | IL | Part B Supplier - Clinic/Group Practice | 1740518380 |
| O20100930041927 | IL | DME Supplier - Oral Surgery - Dentist | 1740518380 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Illinois Institute of Dental Sleep Medicine PLLC
- Dentist
- Dunlap, IL
- NPI 1740518380
-
Illinois Institute of Dental Sleep Medicine Inc
- Dentist
- Dunlap, IL
- NPI 1619311248
Practice locations
- Dunlap, IL2
Clinicians 2
Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).
-
Hollie Nicole Hangartner, APN
- Nurse Practitioner
- Dunlap, IL
- NPI 1669015566
-
Rodney Earl Willey, DDS
- Dentist
- Dunlap, IL
- NPI 1144409806
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.