Provider Demographics
NPI:1215569702
Name:ILLINOIS SLEEP COUNSELING PLLC
Entity type:Organization
Organization Name:ILLINOIS SLEEP COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CELSO
Authorized Official - Middle Name:
Authorized Official - Last Name:TEIXEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:224-707-0720
Mailing Address - Street 1:342 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:GLENCOE
Mailing Address - State:IL
Mailing Address - Zip Code:60022-1824
Mailing Address - Country:US
Mailing Address - Phone:401-441-2451
Mailing Address - Fax:
Practice Address - Street 1:342 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:GLENCOE
Practice Address - State:IL
Practice Address - Zip Code:60022-1824
Practice Address - Country:US
Practice Address - Phone:401-441-2451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty
No173F00000XOther Service ProvidersSleep Specialist, PhDGroup - Single Specialty