Organization · NPI-2

Digitrace Care Services, INC

Clinic/Center, Sleep Disorder Diagnostic · Orland Park, IL

NPI number1659383453
StatusActive
Last updated in NPPESJan 15, 2013

Details

NPI
1659383453
Entity type
Organization (NPI-2)
Legal business name
Digitrace Care Services, INC
Organization subpart
No
Enumeration date
Aug 12, 2006
Last updated
Jan 15, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder Diagnostic––Yes

Practice location

9611 165th St
11b
Orland Park, IL 60467-5654

Phone 708-873-0578 · Fax 708-873-0615

Mailing address

200 Corporate Pl
Suite 5b
Peabody, MA 01960-3840

Phone 978-536-7400 · Fax 978-535-9757

Authorized official

Carl R. Iberger
Evp Cfo
9785367400

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