Sleep Center Of Central Illinois Llc in Bloomington - Sleep Disorder Diagnostic
Sleep Center Of Central Illinois Llc - NPI 1407965130
Sleep Center Of Central Illinois Llc is a Sleep Disorder Diagnostic in Bloomington, Illinois. Sleep Center Of Central Illinois Llc practices all healthcare services and medical treatments related to Sleep Disorder Diagnostic. The NPI Number for Sleep Center Of Central Illinois Llc is 1407965130. The last update date is 2012-04-20.
Sleep Center Of Central Illinois Llc's current location address is 2204 Eastland Drive, Bloomington, Illinois. You can contact this provider via phone number 3096621558 and fax number 3096621390. The mailing address for Sleep Center Of Central Illinois Llc is 2204 Eastland Drive, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sleep Center Of Central Illinois Llc |
|---|---|
| Address | 2204 Eastland Drive, Bloomington, Illinois |
| Phone Number | 3096621558 |
| Fax Number | 3096621390 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Mcdonald J Brian |
| Telephone Number | 3096639999 |
NPI Number Detail
| NPI Number | 1407965130 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2012-04-20 |
Provider Mailing Address Detail
| Address | 2204 Eastland Drive |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 61704 |
| Phone Number | 3096621558 |
| Fax Number | 3096621390 |
Provider's Primary Taxonomy Detail
| Speciality | Sleep Disorder Diagnostic |
|---|---|
| Taxonomy | 261Qs1200X |
|
Definition: Diagnoses and treats sleep disorders. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5732085 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Sleep Center Of Central Illinois Llc?
The Sleep Center Of Central Illinois Llc has been issued the NPI (National Provider Identifier) 1407965130 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Sleep Center Of Central Illinois Llc?
The Sleep Center Of Central Illinois Llc is physically situated at 2204 Eastland Drive, in the city of Bloomington, state of IL, with the postal code 61704.
What is the Sleep Center Of Central Illinois Llc's area of specialization and corresponding taxonomy classification?
The Sleep Center Of Central Illinois Llc's specialty field is Sleep Disorder Diagnostic, and it falls under the taxonomy code 261Qs1200X, which categorizes healthcare providers based on their specialties.
On what date did the Sleep Center Of Central Illinois Llc receive its 1407965130 assignment from the Centers for Medicare & Medicaid Services?
The Sleep Center Of Central Illinois Llc was assigned its 1407965130 by the Centers for Medicare & Medicaid Services on 2006-08-29.
As of what date were the details pertaining to Sleep Center Of Central Illinois Llc last refreshed?
The information related to the Sleep Center Of Central Illinois Llc, including its address, specialty, and other relevant details, was last updated on 2012-04-20.