Provider Demographics
NPI:1740553999
Name:SNORING CENTER OF ILLINOIS, S.C.
Entity type:Organization
Organization Name:SNORING CENTER OF ILLINOIS, S.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHWIMMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-369-2345
Mailing Address - Street 1:6901 SNIDER PLZ
Mailing Address - Street 2:SUITE 225
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-5648
Mailing Address - Country:US
Mailing Address - Phone:214-369-2345
Mailing Address - Fax:214-369-7464
Practice Address - Street 1:875 N DEARBORN ST
Practice Address - Street 2:SUITE 400
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-7377
Practice Address - Country:US
Practice Address - Phone:312-448-9184
Practice Address - Fax:312-448-9185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-20
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.128509261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic