Provider Demographics
NPI:1962794222
Name:SLEEP DIAGNOSTICS LTD.
Entity type:Organization
Organization Name:SLEEP DIAGNOSTICS LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-833-2531
Mailing Address - Street 1:217 BONNIE BRAE AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2507
Mailing Address - Country:US
Mailing Address - Phone:630-833-2531
Mailing Address - Fax:
Practice Address - Street 1:205 W GRAND AVE
Practice Address - Street 2:UNIT #104
Practice Address - City:BENSENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60106-3364
Practice Address - Country:US
Practice Address - Phone:630-832-2835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic