SOUTHERN ILLINOIS SLEEP INSTITUTE NPI 1811954944

NPI Information

NPI: 1811954944
Provider Name: SOUTHERN ILLINOIS SLEEP INSTITUTE
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
105 AIRWAY DR
MARION, IL
ZIP 62959
Phone: (618) 997-5500
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SOUTHERN ILLINOIS SLEEP INSTITUTE is a sleep disorder diagnostic clinic center in Marion, IL. SOUTHERN ILLINOIS SLEEP INSTITUTE NPI is 1811954944. The provider is registered as an organization entity type.

The provider's business location address is:

105 AIRWAY DR
MARION, IL
ZIP 62959-872
Phone: (618) 997-5500
Fax: (618) 997-5501

The provider's authorized official is Anita G. Hopkin .
The authorized official title is Billing Manager and has the following contact phone number (314) 645-5855.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 1/18/2008.

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	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic			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	212587	MEDICARE PIN	ILLINOIS
2	0010032043	OTHER	ILLINOIS	BLUE CROSS PROVIDER #

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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