NPIMap

Organization Active NPI

Midwest Sleep Associates, LLC.

  • Sleep Disorder Diagnostic Clinic/Center
  • Yorkville, IL
National Provider Identifier
1265477897
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
MIDWEST SLEEP ASSOCIATES, LLC.
Practice address
88 W Countryside Pkwy
Suite B
Yorkville, IL 60560-2010
Phone
(630) 375-9499
NPI assigned
Jun 18, 2006
Organization subpart
Yes
Parent organization
MIDWEST SLEEP ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Dana Balicki
Title
Executive Director
Phone
(630) 499-6682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X IL Primary

Addresses

Primary practice location

88 W Countryside Pkwy
Suite B
Yorkville, IL 60560-2010

Mailing address

88 W Countryside Pkwy
Suite B
Yorkville, IL 60560-2010
Phone (630) 375-9499

Other identifiers 1

IdentifierTypeStateIssuer
2232334OtherBLUE CROSS BLUE SHIELD

Other names 1

  • Midwest Center for Sleep Disorders Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Midwest Sleep Associates LLC2 organizations share this tax ID, including this one
Part of
Midwest Sleep Associates LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

88 W Countryside Pkwy
Ste B
Yorkville, IL 60560
Phone (630) 375-9499

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265477897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 W COUNTRYSIDE PKWY",
            "address_2": "SUITE B",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605602010",
            "telephone_number": "630-375-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 W COUNTRYSIDE PKWY",
            "address_2": "SUITE B",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605602010",
            "telephone_number": "630-375-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SLEEP ASSOCIATES, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST SLEEP ASSOCIATES, LLC",
        "enumeration_date": "2006-06-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BALICKI",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-499-6682",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2232334",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Center for Sleep Disorders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.