THE SLEEP AND WELLNESS CENTER PC NPI 1598931008

NPI Information

NPI: 1598931008
Provider Name: THE SLEEP AND WELLNESS CENTER, PC
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
360 STATION DR
CRYSTAL LAKE, IL
ZIP 60014
Phone: (847) 854-4220
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THE SLEEP AND WELLNESS CENTER, PC is a sleep disorder diagnostic clinic center in Crystal Lake, IL. THE SLEEP AND WELLNESS CENTER, PC NPI is 1598931008. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

360 STATION DR
CRYSTAL LAKE, IL
ZIP 60014
Phone: (847) 854-4220

The provider's authorized official is Dennis Franklin Kellar .
The authorized official title is President and has the following contact phone number (312) 933-9007.

The enumeration date for this NPI number is 5/5/2008 and was last updated on 5/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease	036104219	ILLINOIS	No
2	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic	036104219	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	I01485	MEDICARE UPIN
2	K48748	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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