Prairie State Pulmonary & Sleep Consultants, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

036069751 Issued in IL

Legal business name

PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC

Practice address

20303 Crawford Ave Ste 120
Olympia Fields, IL 60461-1173

Phone

(708) 983-6060

Fax

(708) 747-6911

NPI assigned

Mar 27, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Aronson, MDNPI 1598824039

Title

Managing Member

Phone

(708) 983-6060

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Aronson, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Olympia Fields, IL
  • NPI 1598824039

  Pulmonary Disease

  Medicare reassignment NPD Authorized official
• Bradley Scott Coolidge, M.D.

  • Pulmonary Disease Physician
  • Olympia Fields, IL
  • NPI 1700986460
  Medicare reassignment NPD
• Katherine Ann Panice, FNP

  • Family Nurse Practitioner
  • Olympia Fields, IL
  • NPI 1619321718
  Medicare reassignment
• Ravi K Sundaram, D.O.

  • Pulmonary Disease Physician
  • Olympia Fields, IL
  • NPI 1811040595
  Medicare reassignment
• Omar Hussain, D.O.

  • Pulmonary Disease Physician
  • Melrose Park, IL
  • NPI 1447332705

  Critical Care Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1053583393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20303 CRAWFORD AVE STE 120",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611173",
            "telephone_number": "708-983-6060",
            "fax_number": "708-747-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20303 CRAWFORD AVE STE 120",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611173",
            "telephone_number": "708-983-6060",
            "fax_number": "708-747-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE STATE PULMONARY & SLEEP CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "ARONSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "708-983-6060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036069751",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036069751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kiana Chanell Porter
• Sanjeev Kumar Pradhan, M.D.
• Prime Healthcare Home Health Care Illinois, LLC
• Samuel Adam Prissel, DO
• Progressive Dental and Assoc PC
• Kevin Robert Pugh, DO
• Pulmonary and Sleep Associates Inc.

• Pulmonary Disease Physician in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.