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Joliet Sleep Center INC

Internal Medicine, Sleep Medicine in Joliet, IL. Organization (NPI-2).

NPI number1881920593
StatusActive
Last updated in NPPESOct 30, 2009

Details

NPI
1881920593
Entity type
Organization (NPI-2)
Legal business name
Joliet Sleep Center INC
Organization subpart
No
Enumeration date
Oct 30, 2009
Last updated
Oct 30, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RS0012X Internal Medicine, Sleep Medicine––Yes
207RP1001X Internal Medicine, Pulmonary Disease––

Practice location

2000 Glenwood Ave
109
Joliet, IL 60435-5676

Phone 815-729-0111

Mailing address

1603 Woodland Ln
Bolingbrook, IL 60490-3274

Phone 630-887-1262

Authorized official

Padmaja Nannapaneni
Billing Manager
6308871262

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