Individual provider Active NPI

Angela Planer Venegoni, DDS

  • General Practice Dentistry
  • Homer Glen, IL
National Provider Identifier
1790843399
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019025348 Issued in IL
Practice address
14831 W 159TH St
Homer Glen, IL 60491-9005
Phone
(630) 218-1920
Fax
(815) 744-7059
NPI assigned
Dec 5, 2006
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
General Practice Dentistry 1223G0001X 019025348 IL Primary

Addresses

Primary practice location

14831 W 159TH St
Homer Glen, IL 60491-9005

Mailing address

14831 W 159TH St
Homer Glen, IL 60491-9005
Phone (630) 218-1920

Other practice location 1

4711 Golf Rd Ste 413
Skokie, IL 60076-1242
Phone (630) 218-1920

Other practice location 2

150 E Huron St Ste 1103
Chicago, IL 60611-2973
Phone (312) 676-9893

Other practice location 3

2500 S Highland Ave Ste 220
Lombard, IL 60148-7103
Phone (630) 218-1920

Other practice location 4

Closed Location
300 E 5th Ave Ste 420
Naperville, IL 60563-3403
Phone (630) 369-6836

Other practice location 5

27790 W Hwy 22
MOC 1, Ste 2
Barrington, IL 60010
Phone (630) 218-1920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510000106 IL Practitioner - Dentist 3971534652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

14831 W 159TH St
Suite 1
Homer Glen, IL 60491-9008
Phone (815) 483-2980

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019025348ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Sleep Center Richard a Craig DDS LTD General Practice Current Accepting new patients
Dental Sleep Center Richard a Craig DDS LTD General Practice CurrentSince May 1, 2024 Accepting new patients
Naper Dental Sleep Center, LTD Durable Medical Equipment & Medical Supplies CurrentSince Sep 4, 2014 Accepting new patients
Dental Sleep Center Richard a Craig DDS LTD General Practice CurrentSince May 1, 2024 Accepting new patients
Dr. Planer & Associates, LTD General Practice Past Accepting new patients
Compliant Sleep Solutions-Converging Sleep Networks LLC Durable Medical Equipment & Medical Supplies PastSince Aug 14, 2022 Accepting new patients

Locations

27790 W Il Route 22
Ste 2
Barrington, IL 60010
Phone (630) 218-1920

150 E Huron St
Ste 1103
Chicago, IL 60611
Phone (312) 676-9893

14831 W 159th St
Ste 1
Lockport, IL 60491
Phone (312) 676-9893

2500 S Highland Ave
Ste 220
Lombard, IL 60148
Phone (630) 218-1920

300 E 5th Ave
Ste 420
Naperville, IL 60563
Phone (630) 369-6836

220 Channahon St
Shorewood, IL 60404
Phone (630) 218-1920

4711 Golf Rd
Ste 413
Skokie, IL 60076
Phone (847) 329-9588

4711 Golf Rd
Ste 912
Skokie, IL 60076
Phone (847) 676-3500

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1790843399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14831 W 159TH ST",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919005",
            "telephone_number": "630-218-1920",
            "fax_number": "815-744-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14831 W 159TH ST",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919005",
            "telephone_number": "630-218-1920",
            "fax_number": "815-744-7059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4711 Golf Rd Ste 413",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600761242",
            "country_code": "US",
            "telephone_number": "630-218-1920",
            "fax_number": "815-744-7059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 E Huron St Ste 1103",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112973",
            "country_code": "US",
            "telephone_number": "312-676-9893",
            "fax_number": "815-744-7059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 S Highland Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601487103",
            "country_code": "US",
            "telephone_number": "630-218-1920",
            "fax_number": "815-744-7059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "CLOSED LOCATION",
            "address_2": "300 E 5th Ave Ste 420",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605633403",
            "country_code": "US",
            "telephone_number": "630-369-6836",
            "fax_number": "630-369-7067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27790 W Hwy 22",
            "address_2": "MOC 1, Ste 2",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "60010",
            "country_code": "US",
            "telephone_number": "630-218-1920",
            "fax_number": "815-744-7059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENEGONI",
        "first_name": "ANGELA",
        "middle_name": "PLANER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

Verify at the official NPI Registry.