Provider Demographics
NPI:1689755092
Name:SLEEPWATCHERS, LLC
Entity Type:Organization
Organization Name:SLEEPWATCHERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:J
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:847-838-9253
Mailing Address - Street 1:39336 N IL ROUTE 59
Mailing Address - Street 2:
Mailing Address - City:LAKE VILLA
Mailing Address - State:IL
Mailing Address - Zip Code:60046-9603
Mailing Address - Country:US
Mailing Address - Phone:847-838-9253
Mailing Address - Fax:847-245-1434
Practice Address - Street 1:39336 N IL ROUTE 59
Practice Address - Street 2:
Practice Address - City:LAKE VILLA
Practice Address - State:IL
Practice Address - Zip Code:60046-9603
Practice Address - Country:US
Practice Address - Phone:847-838-9253
Practice Address - Fax:847-245-1434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL04932164OtherBCBSIL SLEEP CENTER #
IL04932164OtherBCBSIL SLEEP CENTER #
IL04932164OtherBCBSIL SLEEP CENTER #