Active NPI
Midwest Pulmonary & Sleep Clinic
- Pulmonary Disease Physician
- Algonquin, IL
National Provider Identifier
1063653905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036108121
- Legal business name
- MIDWEST PULMONARY & SLEEP CLINIC
- Practice address
- 1442 Merchant Dr
Algonquin, IL 60102-5917 - Phone
- (847) 658-0909
- Fax
- (847) 658-6709
- NPI assigned
- Mar 23, 2009
- Organization subpart
- Yes
- Parent organization
- MIDWEST PULMONARY & SLEEP CLINIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nidal Sakka, M.D.
- Title
- President
- Phone
- (847) 240-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 036108121 | IL | Primary |
Addresses
Primary practice location
1442 Merchant Dr
Algonquin, IL 60102-5917
Mailing address
802 E Woodfield Rd
Suite 200
Schaumburg, IL 60173-4712
Phone (847) 240-9500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036108121 | Medicaid | IL | |
| 212072 | Other | IL | MEDICARE ID-TYPE UNSPECIFIED |
| 1635330 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider Directory- Part of
- Midwest Pulmonary Sleep Clinic
Locations
1575 N Barrington Rd
#530
Hoffman Estates, IL 60169
Phone (847) 781-3917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237766400000",
"number": "1063653905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 E WOODFIELD RD",
"address_2": "SUITE 200",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734712",
"telephone_number": "847-240-9500",
"fax_number": "847-240-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1442 MERCHANT DR",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601025917",
"telephone_number": "847-658-0909",
"fax_number": "847-658-6709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST PULMONARY & SLEEP CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIDWEST PULMONARY & SLEEP CLINIC",
"enumeration_date": "2009-03-23",
"last_updated": "2009-03-23",
"status": "A",
"authorized_official_last_name": "SAKKA",
"authorized_official_first_name": "NIDAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-240-9500",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036108121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036108121",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-TYPE UNSPECIFIED",
"identifier": "212072",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1635330",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Algonquin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.