Provider Demographics
NPI:1063649770
Name:COMPLIANT SLEEP SOLUTIONS-CONVERGING SLEEP NETWORKS, L.L.C.
Entity Type:Organization
Organization Name:COMPLIANT SLEEP SOLUTIONS-CONVERGING SLEEP NETWORKS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-324-5370
Mailing Address - Street 1:14831 W 159TH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:HOMER GLEN
Mailing Address - State:IL
Mailing Address - Zip Code:60491-9005
Mailing Address - Country:US
Mailing Address - Phone:630-324-5370
Mailing Address - Fax:815-744-7059
Practice Address - Street 1:14831 W 159TH ST STE 3
Practice Address - Street 2:
Practice Address - City:HOMER GLEN
Practice Address - State:IL
Practice Address - Zip Code:60491-9005
Practice Address - Country:US
Practice Address - Phone:630-324-5370
Practice Address - Fax:815-744-7059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-19
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203001215332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1053453936OtherNPI STEVEN MORAVEC DDS
1447468178OtherNPI IVAN VALCARENGHI DDS
1750599494OtherNPI KATHRYN VALCARENGHI DDS
1265442073OtherNPI BRIAN PRENTICE DDS
IL1457579682OtherNPI CHARLES LOCKHART DDS
1053423285OtherNPI KEVIN WALLACE DMD
IL1124041769OtherNPI RICHARD CRAIG DDS