Skokie Operating Company LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

SKOKIE OPERATING COMPANY LLC

Practice address

8930 Gross Point Road
Suite 700
Skokie, IL 60077-1864

Phone

(847) 967-5337

Fax

(847) 967-1777

NPI assigned

Dec 14, 2007

Organization subpart

Yes

Parent organization

AMERICAN SLEEP MEDICINE LLCAs reported in NPPES

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

Authorized official

Name

Mr. Jim Evanger

Title

President

Phone

(904) 517-5500

Specialties & licenses 1

Addresses

Other names 1

• American Sleep Medicine Doing business as

Part of

American Sleep Medicine LLC

Locations

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1356524136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 BELFORT PARKWAY",
            "address_2": "SUITE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566978",
            "telephone_number": "904-517-5500",
            "fax_number": "904-517-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 GROSS POINT ROAD",
            "address_2": "SUITE 700",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771864",
            "telephone_number": "847-967-5337",
            "fax_number": "847-967-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKOKIE OPERATING COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN SLEEP MEDICINE LLC",
        "enumeration_date": "2007-12-14",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "EVANGER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-517-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Sleep Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skokie Valley CT Centre
• Skokie Valley Radiologist
• Amanda M. Skoskiewicz, MSN, CPNP

• All providers in Skokie, IL
• Sleep Disorder Diagnostic Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.