Organization Active NPI

Palos Heights Sleep Center LTD

  • Sleep Medicine (Internal Medicine) Physician
  • Palos Heights, IL
National Provider Identifier
1396098273
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
PALOS HEIGHTS SLEEP CENTER LTD
Practice address
12508 S Harlem Ave
Suite a
Palos Heights, IL 60463-1597
Phone
(708) 671-8176
Fax
(708) 827-5652
NPI assigned
Oct 17, 2012
Last updated
Oct 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Dr. Abdul-Hamid Mohammad Shahbain, M.D.NPI 1023032646
Title
Owner/ Doctor
Phone
(708) 671-8176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU Primary

Addresses

Primary practice location

12508 S Harlem Ave
Suite a
Palos Heights, IL 60463-1597

Mailing address

12508 S Harlem Ave
Suite a
Palos Heights, IL 60463-1597
Phone (708) 671-8176

National Provider Directory

National Provider Directory

Locations

12508 S Harlem Ave
Ste A
Palos Heights, IL 60463
Phone (708) 671-8176

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1396098273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 S HARLEM AVE",
            "address_2": "SUITE A",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631597",
            "telephone_number": "708-671-8176",
            "fax_number": "708-827-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12508 S HARLEM AVE",
            "address_2": "SUITE A",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631597",
            "telephone_number": "708-671-8176",
            "fax_number": "708-827-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOS HEIGHTS SLEEP CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "SHAHBAIN",
        "authorized_official_first_name": "ABDUL-HAMID",
        "authorized_official_middle_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "708-671-8176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.