Illinois Sleep Provider, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203.000618 Issued in IL

Legal business name

ILLINOIS SLEEP PROVIDER, INC.

Doing business as

Performance Home Medical

Practice address

8736 Ogden Ave
Lyons, IL 60534-1060

Phone

(708) 442-9800

Fax

(708) 442-9889

NPI assigned

Jun 20, 2006

Last updated

Sep 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alejandra DuranNPI 1699281527

Title

Cfo

Phone

(708) 442-9800

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Performance Home Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alejandra Duran, CRT

  • Certified Respiratory Therapist
  • Lyons, IL
  • NPI 1699281527
  NPD (past) Authorized official
• Frank R Salazar, RCP

  • Home Health Certified Respiratory Therapist
  • Lyons, IL
  • NPI 1760617336
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1114963048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8736 W ODGEN AVE",
            "city": "LYONS",
            "state": "IL",
            "postal_code": "605341060",
            "telephone_number": "708-442-9800",
            "fax_number": "708-442-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8736 OGDEN AVE",
            "city": "LYONS",
            "state": "IL",
            "postal_code": "605341060",
            "telephone_number": "708-442-9800",
            "fax_number": "708-442-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS SLEEP PROVIDER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "ALEJANDRA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "708-442-9800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203.000618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS LICENSE",
            "identifier": "203.000618",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "01633937",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILL. LICENSE",
            "identifier": "194.003094",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sammy I Hakky, PHARMD
• Kellie Halvey, PT, DPT
• Saja Hamad
• Farah Hamada, MD
• Shenna Harris
• Samantha Frances James
• Katerji Pediatrics Inc
• Basel Katerji, MD
• Gordana Kostich, RPH
• Laura E Kukulski

• Durable Medical Equipment & Medical Supplies in Lyons, IL
• Providers in Lyons, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.