Village Sleep Center Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

036113093 Issued in IL

Legal business name

VILLAGE SLEEP CENTER INC

Practice address

1100 Lake St Ste LL40
Oak Park, IL 60301-1066

Phone

(312) 520-8547

NPI assigned

Aug 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mircea T Iacob, MD

Title

President

Phone

(312) 520-8547

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1164736005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LAKE ST STE LL40",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LAKE ST STE LL40",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011066",
            "telephone_number": "312-520-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE SLEEP CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "IACOB",
        "authorized_official_first_name": "MIRCEA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-520-8547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "IL",
            "license": "036113093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Villa, FNP-BC
• Village Eye Physicians LTD
• Village of Oak Park
• Village of Oak Park, Dept. of Public Health
• Village Radiology LTD
• Dovie Jean Villalobos, LSW
• Karen Villanueva, ALMFT
• Danielle Villari Swets
• Vince Murphy & Associates, P.C.
• Diego Vintimilla

• Sleep Disorder Diagnostic Clinic/Center in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Sleep Disorder Diagnostic Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.