Provider Demographics
NPI:1598085706
Name:SOUND SLEEP CENTER INC
Entity Type:Organization
Organization Name:SOUND SLEEP CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WOJCIECH
Authorized Official - Middle Name:
Authorized Official - Last Name:ORNOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-528-1218
Mailing Address - Street 1:10210 WICKER AVENUE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SAINT JOHN
Mailing Address - State:IN
Mailing Address - Zip Code:46373
Mailing Address - Country:US
Mailing Address - Phone:219-775-7722
Mailing Address - Fax:708-221-6603
Practice Address - Street 1:1600 S. TORRENCE AVENUE
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:CALUMET CITY
Practice Address - State:IL
Practice Address - Zip Code:60409-5430
Practice Address - Country:US
Practice Address - Phone:708-730-1750
Practice Address - Fax:708-915-4897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036094416261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic