Organization · NPI-2

Ottawa Regional Cardinal Sleep Center, LLC

Clinic/Center, Sleep Disorder Diagnostic · Ottawa, IL

NPI number1861799215
StatusActive
Last updated in NPPESFeb 22, 2011

Details

NPI
1861799215
Entity type
Organization (NPI-2)
Legal business name
Ottawa Regional Cardinal Sleep Center, LLC
Organization subpart
Yes
Enumeration date
Feb 22, 2011
Last updated
Feb 22, 2011

Taxonomy and licenses

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

Practice location

1601 Mercury Ct Ste 2
Ottawa, IL 61350-9333

Phone 815-433-3100 · Fax 815-431-5500

Mailing address

1601 Mercury Ct Ste 2
Ottawa, IL 61350-9333

Phone 815-433-3100 · Fax 815-431-5500

Authorized official

Robert A Chaffin
President
8154315456

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