Provider Demographics
NPI:1497085906
Name:NORTHWEST SLEEP PROVIDER INC.
Entity Type:Organization
Organization Name:NORTHWEST SLEEP PROVIDER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR / ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVED
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:847-508-4135
Mailing Address - Street 1:2634 GRAND AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-2458
Mailing Address - Country:US
Mailing Address - Phone:847-508-4135
Mailing Address - Fax:847-244-2727
Practice Address - Street 1:2634 GRAND AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-2458
Practice Address - Country:US
Practice Address - Phone:847-508-4135
Practice Address - Fax:847-244-2727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203.001092332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies