ILLINOIS INSTITUTE OF DENTAL SLEEP MEDICINE INC
NPI 1619311248
Dentist in Dunlap, IL

Active since April 25, 2013
11825 STATE ROUTE 40 STE 100, DUNLAP, IL 61525(309) 243-8980 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Illinois Institute Of Dental Sleep Medicine Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLINOIS INSTITUTE OF DENTAL SLEEP MEDICINE INC (NPI 1619311248) is a healthcare organization registered as a dentist in Dunlap, Illinois and active in the NPI registry since April 2013. The organization lists Rodney Willey, Owner, as its authorized official.

NPPES Registry Identity

NPI1619311248
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameILLINOIS INSTITUTE OF DENTAL SLEEP MEDICINE INC
Location Address11825 STATE ROUTE 40 STE 100Dunlap, IL 61525-8842
Mailing Address11825 State Route 40, 100Dunlap, IL 61525-8842 · (309) 282-8565 · Fax (309) 265-0156
Organization SubpartYes
Authorized OfficialRodney WilleyOwner · (309) 282-8565
Enumeration DateApril 25, 2013
Last NPPES UpdateAugust 4, 2023
NPPES CertifiedAugust 4, 2023
✔ NPI 1619311248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.019599
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
11825 STATE ROUTE 40 STE 100, Dunlap, IL 61525

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Illinois Institute Of Dental Sleep Medicine Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Illinois Institute Of Dental Sleep Medicine Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1669015566
11825 STATE ROUTE 40 STE 100
Dunlap, IL 61525
(309) 981-7235
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1144409806
11825 STATE ROUTE 40 SUITE 100
Dunlap, IL 61525
(309) 243-8980
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illinois Institute Of Dental Sleep Medicine Inc's NPI number?

The NPI number for Illinois Institute Of Dental Sleep Medicine Inc is 1619311248. It was assigned to this organization in the NPPES registry on April 25, 2013.

Where is Illinois Institute Of Dental Sleep Medicine Inc located?

Illinois Institute Of Dental Sleep Medicine Inc is located at 11825 State Route 40 Ste 100, Dunlap, IL 61525. The listed phone number is (309) 243-8980.

What is Illinois Institute Of Dental Sleep Medicine Inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Illinois Institute Of Dental Sleep Medicine Inc enrolled in Medicare?

Yes. Illinois Institute Of Dental Sleep Medicine Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Illinois Institute Of Dental Sleep Medicine Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Illinois Institute Of Dental Sleep Medicine Inc, in Nurse Practitioner and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Illinois Institute Of Dental Sleep Medicine Inc was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.