Provider Demographics
NPI:1689800443
Name:ESTEBAN LINAREZ SLEEP, LLC
Entity Type:Organization
Organization Name:ESTEBAN LINAREZ SLEEP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESTEBAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LINAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-613-4140
Mailing Address - Street 1:850 W. MADISON STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1632
Mailing Address - Country:US
Mailing Address - Phone:708-613-4140
Mailing Address - Fax:708-434-5641
Practice Address - Street 1:850 W. MADISON STREET
Practice Address - Street 2:SUITE A
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1632
Practice Address - Country:US
Practice Address - Phone:708-613-4140
Practice Address - Fax:708-434-5641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-111049207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL2538Medicare PIN