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SLEEP CENTER OF CENTRAL ILLINOIS LLC NPI 1407965130


NPI Information

NPI: 1407965130
Provider Name: SLEEP CENTER OF CENTRAL ILLINOIS LLC
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
2204 EASTLAND DR
SUITE 100
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 662-1558
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SLEEP CENTER OF CENTRAL ILLINOIS LLC is a sleep disorder diagnostic clinic center in Bloomington, IL. SLEEP CENTER OF CENTRAL ILLINOIS LLC NPI is 1407965130. The provider is registered as an organization entity type.

The provider's business location address is:

2204 EASTLAND DR
SUITE 100
BLOOMINGTON, IL
ZIP 61704-567
Phone: (309) 662-1558
Fax: (309) 662-1390

The provider's authorized official is Brian J Mcdonald .
The authorized official title is Director and has the following contact phone number (309) 663-9999.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 4/20/2012.


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 DiagnosticYes

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
15732085OTHERILLINOISBLUE CROSS BLUE SHIELD
2205903MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

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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