DIGITRACE CARE SERVICES INC NPI 1437161163

NPI Information

NPI: 1437161163
Provider Name: DIGITRACE CARE SERVICES, INC
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
4710 W 95TH ST
SUITE A6
OAK LAWN, IL
ZIP 60453
Phone: (708) 423-4693
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DIGITRACE CARE SERVICES, INC is a sleep disorder diagnostic clinic center in Oak Lawn, IL. DIGITRACE CARE SERVICES, INC NPI is 1437161163. The provider is registered as an organization entity type.

The provider's business location address is:

4710 W 95TH ST
SUITE A6
OAK LAWN, IL
ZIP 60453-546
Phone: (708) 423-4693
Fax: (708) 423-5279

The provider's authorized official is Joseph Rose .
The authorized official title is Vp Of Finance & Administration and has the following contact phone number (978) 536-7400.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 5/17/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01619296	OTHER	ILLINOIS	FEDERAL BCIL
2	7618325	OTHER		AETNA
3	8011510	OTHER	ILLINOIS	CIGNA
4	215275	MEDICARE PIN	ILLINOIS
5	P00452102	OTHER	ILLINOIS	RAILROAD MEDICARE

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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