Provider Demographics
NPI:1609007996
Name:DELTA SLEEP INC
Entity Type:Organization
Organization Name:DELTA SLEEP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEHANE
Authorized Official - Suffix:
Authorized Official - Credentials:RRT,RCP
Authorized Official - Phone:630-960-2727
Mailing Address - Street 1:3510 HOBSON RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-1439
Mailing Address - Country:US
Mailing Address - Phone:630-960-2727
Mailing Address - Fax:630-960-2715
Practice Address - Street 1:917 RIDGE RD
Practice Address - Street 2:LOCK BOX 3287
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-1721
Practice Address - Country:US
Practice Address - Phone:888-540-2727
Practice Address - Fax:816-417-3417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02233260OtherBCBS OF ILLINOIS
IL5638250001Medicare PIN