Provider Demographics
NPI:1609880608
Name:SLEEP NETWORK OF ILLINOIS INC
Entity Type:Organization
Organization Name:SLEEP NETWORK OF ILLINOIS INC
Other - Org Name:REGIONAL CENTER FOR SLEEP MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:DRAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-535-9282
Mailing Address - Street 1:3450 W CENTRAL AVE
Mailing Address - Street 2:SUITE 118
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1416
Mailing Address - Country:US
Mailing Address - Phone:419-535-9282
Mailing Address - Fax:419-535-9443
Practice Address - Street 1:9642 S PULASKI RD
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-3391
Practice Address - Country:US
Practice Address - Phone:708-425-3330
Practice Address - Fax:419-535-9443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory