Provider Demographics
NPI:1508009747
Name:MEADOWS SLEEP DISORDERS CLINIC, INC
Entity Type:Organization
Organization Name:MEADOWS SLEEP DISORDERS CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ANWAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-487-9544
Mailing Address - Street 1:2500 W HIGGINS RD.
Mailing Address - Street 2:SUITE 620
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-7214
Mailing Address - Country:US
Mailing Address - Phone:224-653-8211
Mailing Address - Fax:224-653-8372
Practice Address - Street 1:2500 W HIGGINS RD.
Practice Address - Street 2:SUITE 620
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-7214
Practice Address - Country:US
Practice Address - Phone:224-653-8211
Practice Address - Fax:224-653-8372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-17
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001629758OtherBCBS