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NORTHSHORE SLEEP MEDICINE S.C. NPI 1053453167


NPI Information

NPI: 1053453167
Provider Name: NORTHSHORE SLEEP MEDICINE, S.C.
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

CLIA Number: 14D2182431

Address:
3451 CHURCH ST.
EVANSTON, IL
ZIP 60203
Phone: (847) 674-3600
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NORTHSHORE SLEEP MEDICINE, S.C. is a sleep disorder diagnostic clinic center in Evanston, IL. NORTHSHORE SLEEP MEDICINE, S.C. NPI is 1053453167. The provider is registered as an organization entity type.

The provider's business location address is:

3451 CHURCH ST.
EVANSTON, IL
ZIP 60203
Phone: (847) 674-3600
Fax: (847) 674-3639

The provider's authorized official is Giulia Andra Alexandru .
The authorized official title is Office Manager and has the following contact phone number (847) 674-3600.

The CLIA number assigned to this NPI record is 14D2182431 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 1/22/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS1200XClinic/CenterSleep Disorder Diagnostic042618664ILLINOISYes

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: 4/28/2024

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