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MIDWEST PULMONARY & SLEEP CLINIC NPI 1063653905


NPI Information

NPI: 1063653905
Provider Name: MIDWEST PULMONARY & SLEEP CLINIC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1442 MERCHANT DR
ALGONQUIN, IL
ZIP 60102
Phone: (847) 658-0909
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MIDWEST PULMONARY & SLEEP CLINIC is a pulmonary disease internal medicine in Algonquin, IL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. MIDWEST PULMONARY & SLEEP CLINIC NPI is 1063653905. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1442 MERCHANT DR
ALGONQUIN, IL
ZIP 60102-917
Phone: (847) 658-0909
Fax: (847) 658-6709

The provider's authorized official is Nidal Sakka .
The authorized official title is President and has the following contact phone number (847) 240-9500.

The enumeration date for this NPI number is 3/23/2009 and was last updated on 3/23/2009.


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
1207RP1001XInternal MedicinePulmonary Disease036108121ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11635330OTHERILLINOISBLUE CROSS BLUE SHIELD
2036108121MEDICAIDILLINOIS
3212072OTHERILLINOISMEDICARE ID-TYPE UNSPECIFIED

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: 11/14/2023

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