Provider Demographics
NPI:1396098273
Name:PALOS HEIGHTS SLEEP CENTER LTD
Entity type:Organization
Organization Name:PALOS HEIGHTS SLEEP CENTER LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDUL-HAMID
Authorized Official - Middle Name:MOHAMMAD
Authorized Official - Last Name:SHAHBAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-671-8176
Mailing Address - Street 1:12508 S HARLEM AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1597
Mailing Address - Country:US
Mailing Address - Phone:708-671-8176
Mailing Address - Fax:708-827-5652
Practice Address - Street 1:12508 S HARLEM AVE
Practice Address - Street 2:SUITE A
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1597
Practice Address - Country:US
Practice Address - Phone:708-671-8176
Practice Address - Fax:708-827-5652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-17
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty