Provider Demographics
NPI:1316382336
Name:CHC SLEEP SOLUTIONS LLC
Entity Type:Organization
Organization Name:CHC SLEEP SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-720-9632
Mailing Address - Street 1:5440 N CUMBERLAND AVE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60656-1490
Mailing Address - Country:US
Mailing Address - Phone:847-380-1166
Mailing Address - Fax:847-572-1699
Practice Address - Street 1:5440 N CUMBERLAND AVE
Practice Address - Street 2:SUITE 225
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60656-1490
Practice Address - Country:US
Practice Address - Phone:847-380-1166
Practice Address - Fax:847-572-1699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-03
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic