Provider Demographics
NPI:1477968576
Name:NAPER DENTAL SLEEP CENTER, LTD
Entity Type:Organization
Organization Name:NAPER DENTAL SLEEP CENTER, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:PLANER
Authorized Official - Last Name:VENEGONI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, DABDSM
Authorized Official - Phone:630-369-6836
Mailing Address - Street 1:300 E 5TH AVE STE 420
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3403
Mailing Address - Country:US
Mailing Address - Phone:630-369-6836
Mailing Address - Fax:630-369-7067
Practice Address - Street 1:300 E 5TH AVE STE 420
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3403
Practice Address - Country:US
Practice Address - Phone:630-369-6836
Practice Address - Fax:630-369-7067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-26
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019025348122300000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty
No122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL7306420001Medicare NSC
ILV06059Medicare UPIN