Provider Demographics
NPI:1457425209
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, MS
Authorized Official - Phone:847-838-9253
Mailing Address - Street 1:39336 N IL ROUTE 59
Mailing Address - Street 2:DURABLE MEDICAL EQUIPMENT SUPPLIER
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:847-838-9253
Practice Address - Street 1:39336 N IL ROUTE 59
Practice Address - Street 2:DURABLE MEDICAL EQUIPMENT SUPPLIER
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:847-838-9253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203-000629332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL04932063OtherDME PROVIDER #
IL=========OtherTRICARE HEALTHNET FEDERAL
IL04932063OtherDME PROVIDER #